Tubectomy / Tubal Sterilization / Female Sterilization

1. Who performs a Tubal sterilization?

A Gynaecologist usually performs the Tubal sterilization procedure.

2. What is the best time to have a tubectomy done?

Tubectomy should be done best within a week after menstruation. Post partum sterilization is performed within 72 hrs of completion of a vaginal delivery.

3. Are there any precautions to be followed before a tubectomy?

Refrain from sexual intercourse for at least 4 days before tubectomy. If having sexual intercourse, use a condom.

4. Why are these precautions essential before undergoing Tubectomy surgery?

The sperms of semen are alive for 48-72 hours. If the women had sex about 2 days before operation, these sperms would be available in the Fallopian tubes and may fertilize the ova or egg. This fertilised ovum maybe implanted inside the uterus and she may become pregnant even after tubectomy.

There is another aspect of presence of viable sperms in the Fallopian tubes. These sperms may remain trapped at the far end of the Fallopian tubes and fertilize an ovum, even after Tubectomy. This fertilized ovum will not be able to pass into the uterus and hence will impregnate the thin Fallopian Tube resulting in ectopic pregnancy. This is a dangerous condition because ectopic pregnancy may result in rupture of Fallopian tube, severe hemorrhage and sometimes even death if not detected early enough.

5. Will tubectomy protect against sexually transmitted diseases (STDs)?

It's important to know that sterilization won't protect you against sexually transmitted diseases (STDs). Always use a condom during each sexual activity to prevent STDs.