Female sterilisation – Tubal ligation

Sterilisation is an option for those women or couples who have completed their family. Unlike all other methods of contraception a surgical procedure for contraception is a permanent decision. It is extremely difficult to reverse a sterilisation and the chances of success are low.

Female sterilisation is a very reliable form of contraception. With tubal ligation the two fallopian tubes are closed using a surgical procedure. As a result, the egg cells, which mature in the ovaries only reach the site where the tubes are tied where they are absorbed by the mucosal membrane and can no longer be fertilised by sperm. Fertilisation and subsequent implantation in the uterine wall are therefore prevented. Sexual responsiveness is not affected by a tubal sterilisation.

Initial consultation: :
The surgery should be preceded by a detailed consultation with the doctor because the final decision to no longer be able to bear children must be well considered. Before a sterilisation can be carried out, the type of procedure, its consequences and possible side effects or complications must be explained to you in detail and you must voluntarily consent to the surgery.

Surgical procedure::
Tubal ligation involves sealing the two fallopian tubes by electrically burning (cauterising) them under general anaesthetic. The procedure is carried out as an outpatient procedure using a laparoscopy. The total time spent in the clinic is 3 to 4 hours.

Possible complications and symptoms:
During the operation complications may develop such as anaesthetic incidents, internal bleeding or damage to the bowel. Such complications are, however, extremely rare.
After the sterilisation hormone production by the ovaries may be reduced. This may, in rare cases, lead to spotting before and after menstruation. If the decision to have the sterilisation was not carefully considered, mental problems may develop.

Costs: :
The costs for sterilisation are not covered by statutory health insurance. Private insurance providers usually only cover such a procedure if there are medical reasons for the procedure.


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