At some point in life you may decide that you would not like to be pregnant again. Some women will choose permanent sterilization to prevent pregnancy for the remainder of their reproductive years.
There are several options for sterilization or permanent birth control. Sterilization, otherwise known as tubal ligation (tying your tubes), can be done through a small incision in your belly button or through the uterus without any incisions. The tubal ligation with the incision is performed as an out-patient procedure. It is done under general anesthesia and requires 2-7 days off of work for recovery.
The incisionless tubal ligation (Essure or Adiana) is performed in our office under sedation using a camera in the uterus to place plugs in the fallopian tubes. Most women recover from this procedure rapidly and return to work in 1-2 days.
Before making a decision to permanently remove the possibility of future pregnancy, your physician will want to discuss your decision to choose permanent birth control. Your doctor wants to be certain that you have examined all of your choices and considered all other reversible methods of birth control. You should understand that tubal ligation or Essure/Adiana procedures are non-reversible and meant to be permanent.
Modern sterilization procedures for women, although not 100% effective, are generally much more effective than typical birth control pill, Depo-Provera or condom use. Modern IUDs are as effective as tubal ligation and may be an alternative method for you, offering 5-10 years of birth control without undergoing a surgical procedure.