Tubal Ligation

Tubal ligation, which is commonly referred to as “tubal sterilization” or “having your tubes tied,” is a permanent form of birth control. Women who no longer wish to have children may opt for the procedure.

During a tubal ligation, the OB/GYN cuts, clips or burns the fallopian tubes. The physician can also completely remove the tube. This prevents sperm from traveling up the tubes and an egg from traveling down. Women who have a tubal ligation still get regular periods. It is usually an outpatient procedure, though it can be performed following a C-section or after childbirth. Tubal ligation is permanent; reversing the procedure is difficult and may not result in a successful pregnancy.
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Types of Tubal Ligation

Bipolar coagulation
During this procedure, an electrical current is applied to the fallopian tubes to cauterize different sections. These sections are typically 2-3 centimeters long.

Fimbriectomy
The portion of the fallopian tube closest to the ovary is cut and removed. Monopolar coagulation
Electric current is used to cauterize the fallopian tube together. The current is then applied further to damage the remainder of the tubes.

Tubal ring
The fallopian tubes are doubled over and a silicone band is placed over the doubled portion.

Irving procedure
Two sutures are placed on the fallopian tubes, the section between the tubes is removed, the ends of the tubes are then attached to the back of the uterus and connective tissues.

Tubal clip
Similar to the tubal ring, a permanent clip is applied and fastened to the doubled portion of the fallopian tubes.

Pomeroy tubal ligation
A portion of the tube is doubled up and a suture is placed in the tubes. The ends are then cauterized with an electrical current.
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