
A permanent contraception procedure. Techniques include removing the tubes (salpingectomy) or blocking them (clips, rings, cautery). Often done laparoscopically or immediately after childbirth.
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Highly effective permanent option; very small long-term failure risk remains. A prior tubal ligation does not protect against STIs.
Regret is more common when performed at a younger age; counselling is essential.
Opportunistic salpingectomy (removing the tubes) may also reduce the lifetime risk of certain ovarian cancers; ovaries are left in place unless there is another reason to remove them.
Long-acting reversible contraception (IUDs, implants) offer very low failure rates and are reversible.
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Procedure timing: can be performed immediately after birth (mini-laparotomy) or later as an outpatient laparoscopy.
Recovery: most resume normal activities within a week after laparoscopy; some cramping and shoulder-tip pain are common briefly.
Future options: reversal surgery is complex and not always successful; IVF is an alternative if pregnancy is desired later.
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