Tubal ligation is a procedure that's used to prevent pregnancy. The procedure works by blocking the fallopian tubes, the thin tubes that extend from each ovary to the uterus. During ovulation, either the right or left ovary releases one (or sometimes more than one) egg which descends to the uterus through the fallopian tubes. Preventing the eggs from descending means fertilization and pregnancy cannot occur. For women who no longer plan to have children, bilateral tubal ligation can provide a permanent and convenient solution for birth control. Top-rated Ob-Gyn Dr. Jonathan Tam has extensive experience performing bilateral tubal ligation procedures using state-of-the-art techniques for optimal results in women throughout Pasadena, California.
Typically, one egg is released each month, one month from the right ovary and the next month from the left. Bilateral means both fallopian tubes are blocked during the procedure. Several techniques are available including clamping the tubes, closing them with cautery (heat) or bisecting (cutting) them.
Tubal ligation is performed under anesthesia using a minimally-invasive procedure called laparoscopy. Small incisions are made into the abdomen and an inert gas is pumped into the belly to expand it to make surgery easier. A laparoscope equipped with a tiny camera is inserted through the incision into the belly where it will send real-time images back to a monitor for viewing. Surgical instruments are inserted through the small incisions to perform the procedure. Once the ligation is complete, the incision will be closed and a bandage will be placed over the area. Tubal ligation procedures can be performed immediately following childbirth or during an outpatient procedure.
Right after the procedure, there may be some mild discomfort from the gas used to expand the belly area, but this will resolve quickly. Pain medication will help relieve any discomfort that may be experienced during the next few days. Patients will need to avoid sex, exercise, and other strenuous physical activity until their follow-up visit about two weeks after their procedure.
While tubal ligation may be successfully reversed in some women, it's considered a permanent type of birth control and should only be considered in women who do not want to become pregnant in the future.
Sometimes these can be an HMO, please call our office to verify: Medi-Cal and Medicare. For the following, we accept PPO and HMO (medical group needs to be Allied Pacific or Healthcare Partners): Aetna, Cigna, Blue Cross, Blue Shield, HealthNet and United Healthcare.
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