Tubectomy or Female Sterilization

   
Will sterilization (Tubectomy) change a woman’s monthly bleeding (menses) or makes monthly bleeding stop? Top
No, most research finds no major change in bleeding pattern after female sterilization. If a woman was using hormonal method or IUCD before sterilization, her bleeding pattern will return to the way it was before she used these methods. For example, woman switching from combined oral contraceptives to female sterilization may notice heavier bleeding as their monthly bleeding returns to usual pattern. However, a woman’s monthly bleeding usually becomes less regular as she approaches menopause.  
   
Does sterilization make a woman lose her sexual desire? Will it make her fat? Top
No. after sterilization a woman will look and feel the same as before. She can have sex the same as before. She may find that she enjoys sex more because she does not have to worry about getting pregnant. She will not gain weight because of sterilization procedure.  
   
Should sterilization be offered only to women who have had a certain number of children who have reached a certain age? Top
No. There is no justification for denying sterilization to a woman just because of her age or the number of her living children. Each woman must be allowed to decide for herself. Any woman may opt for sterilization provided that she has completed her family and does not want more children.  
   
Pregnancy after female sterilization is rare, but why does it happen at all? Top
Most often it is because the woman was already pregnant at the time of sterilization. In some cases an opening in the fallopian tube may develop. Pregnancy also can occur if the provider ligates the round ligament of uterus instead of the fallopian tubes.  
   
Can sterilization be reversed if the woman decides she wants another child? Top
Generally no. Sterilization is intended to be permanent. People who may want more children should choose a different family planning method. Surgery to reverse sterilization is possible for only some women, those who have a large part of the fallopian tubes left after ligation and excision. Even among these women, reversal often does not lead to pregnancy. The procedure is difficult and expensive, and providers who are able to perform such surgery are hard to find. When pregnancy does occur after reversal, the risk that the pregnancy will be ectopic is greater than usual. Thus sterilization should be considered as irreversible.  
   
Is it better for the woman to have female sterilization or the man to have vasectomy? Top
Each couple must decide for themselves which method is best for them. Both are very effective, safe, permanent methods for couples who know that they will not want more children. Ideally a couple should consider both methods. If both are acceptable to the couple, vasectomy would be preferable because it is simpler, safer, easier and less expensive than female sterilization.  
   
Will the female sterilization procedure hurt? Top
Yes a little. Women receive local anesthetic to stop pain, and, except in special cases, they remain awake. The procedure is performed under local anaesthetic. A woman can feel the health care provider moving her uterus and fallopian tubes. This can be uncomfortable. A woman may feel sore and weak for a few days after surgery, but she soon regains her strength.  
   
Where is female sterilization (Tubectomy) performed? Top
Sterilization (Tubectomy) by Minilaparotomy and Laproscopic procedure is performed in Family Health Clinics which are situated at Teaching Hospitals, DHQ Hospitals and THQ Hospitals. These clinics are well equipped and trained staff is available under the supervision of a qualified Lady Doctor.