Tubectomy - Permanent contraception in women: Effectiveness and side effects

There are many modes of contraception both for men and women, but their 100 percent efficacy always remains a doubt. These days more and more women are opting for tubectomy. Tubectomy is a permanent contraception and sterilization method in women. It is a major surgery in which the fallopian tubes are blocked or cut so that the egg is unable to travel from the ovaries to the uterus, thereby eliminating any chances of a pregnancy.


The fallopian tubes are roughly 10 cm long structures inside the woman’s abdomen opening at the uterus at one end and the ovaries at the other end. During a tubectomy, the tubes are slightly cut and tied or artificial clips are placed so that the egg is unable to travel to the uterus. It is a major surgery that would require either cutting open the abdomen or laparoscopic methods to reach the fallopian tubes.

A tubectomy is deemed one of the best solutions in birth control. Since it is permanent and its success rate is as high as 99 percent, tubectomy is being opted by women all across the country.

Side Effects

Any major surgical procedure comes with a set of risks and complications. The side effects of tubectomy include:

Complications/allergies due to anasthesia: Apart from allergies, this also includes breathing difficulties which a woman might face after the procedure.

Accidental perforations and bleeding in stomach: The surrounding blood vessels of the surgery site may get perforated resulting in bleeding.

Infections: Any abdominal pain or unexplained fever needs to be informed to your doctor immediately. It could be a sign of infection.

Perforation in the fallopian tube: Incisions in and around the tubes could lead to perforation in the fallopian tubes. This is fatal as this could lead to internal haemmorhage.
Ectopic pregnancy: Since the pregnancy is prevented from happening in the uterus, it can occur in the tubes.


The tubal reversal surgery is fairly complex, and the results would never be guaranteed so you would be advised by your treating doctor never to rush into a tubectomy. A reversal is possible but the rate of post reversal pregnancies has been reported to be extremely low.

Tubectomy is extremely effective but always discuss with your doctor first before taking such a decision. Also, a tubectomy may not be the surgery of choice for you if you have had previous abdominal surgeries, are at a high risk of suffering from complications due to general anaesthesia, or are suffering from heart or lung disease.

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