Tubal sterilization

This is an operation to block or cut the fallopian tubes. It is considered a permanent method of birth control. Although this procedure is highly effective, there is a failure rate of approximately 1 in 100. In addition, there is a higher risk of ectopic pregnancy (pregnancy outside the uterus) in the event that pregnancy occurs after a sterilization procedure. Female sterilizations are usually performed at any time laparoscopically or may be performed postpartum (after delivery) through a small incision below the navel. If laparoscopy is performed, the procedure usually takes less than thirty minutes and is performed on an outpatient basis.

Alternatively, a procedure FDA approved in 2002, Essure hysteroscopic sterilization, can be performed in the office with little or no anesthesia, and without incisions. It has been shown to have fewer failures than the traditional tubal ligation.