Sterilization is a procedure performed for a single purpose: a permanent means of contraception for women who have decided that they do not want to have children or further children having previously conceived. In a small number of women it is possible that it may be performed as a preventative measure in circumstances where a pregnancy could possibly threaten the life of the patient.

Tubal ligation, involving the closing of the Fallopian tubes, is the usual procedure performed to ensure a definitive barrier against pregnancy. The procedure has a 99 percent success rate and is considered permanent since reversal is a complex operation.

Procedure information
Under general anesthesia, the surgeon gains access to the reproductive system via one or two incisions in the patient’s abdomen. A device known as a laparoscope is then inserted and through this device the surgeon is able to insert instruments that are used to clip, cut or cauterize the patient’s Fallopian tubes.

Once the closing of the tubes is complete, the laparoscope is removed and the incision is closed with stitches. The entire sterilization procedure can be performed in as little as 30 minutes and the patient can be sent home after only a few hours.

Recovery time
The prognosis for recovery after sterilization is good in most healthy women, with normal activities able to be resumed within a few days of the procedure. Taking it easy for a day or two is a good idea, however most patients are fit to return to work in just two or three days. Sexual intercourse can be resumed at the discretion of the patient.

Most surgeons will request a follow-up appointment, usually a couple of weeks after the procedure. This is normally just a formality and it’s rare that any post-operative procedures are necessary.