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tubal ligation

What is tubal ligation?

Tubal ligation or "getting your tubes tied" is a permanent method of birth control where your fallopian tubes (tubes that transport the egg to your womb) are cut and tied off. 

There is another procedure called "Bilateral Salpingectomy" where the tubes are removed and tied. This is becoming more common because there is evidence that ovarian cancer may start in the tubes. By removing the tubes, you may reduce your cancer risk (yes please!).

These techniques are also known as female sterilisation. 

These surgical methods stop you from getting pregnant by working as a "roadblock" and not allowing the egg and sperm to meet. 


Tubal ligation/bilateral salpingectomy are some of the best forms of birth control as they are >99% effective (risk of pregnancy less than 1 in 100 women), permanent, and can have other health benefits (like reducing your cancer risk). 


How good? 

One of the best methods of birth control 

>99% effective at preventing pregnancy with typical and perfect use 

How easy? 

Super easy. One operation, then you are done.

Side effects? 

Short term e.g. bruising, pain. 

How hard to get? 

Need to discuss this with an Obstetrician and Gynaecologist.

How much?

Under public health care - free.  

Tubal ligation / bilateral salpingectomy

How do they work?

Tubal ligation and bilateral salpingectomy are surgical techniques that disrupt the meeting of the egg and sperm. 

Tubal ligation works by cutting the tubes and tying them off; salpingectomy works by removing the tubes and tying off the ends.

  • This means the egg can't get into the womb, and sperm can't get into the tubes - et voila, no pregnancy!


how long does it last?

  • Permanent (forever Trevor)

why would it suit me? 

Female sterilisation can be particularly helpful if:

  • You are certain your family is complete 

  • You have a medical condition where you are recommended to not get pregnant

  • You don't want to use hormones and want a permanent form of contraception


  • Very effective >99%

  • Permanent (no need to take birth control ever again!)

  • Salpingectomy may reduce your risk of ovarian cancer

  • Suitable after having a baby (post-partum) and while breastfeeding

  • No hormones 


  • Surgical procedure 

  • Anaesthetic risk, pain/infection/bleeding and bruising

  • Guilt  or other emotional response

what next?

You will need to book an appointment with your GP or Family Planning to be referred to the Obstetrics and Gynaecology Department in your District Health Board for a discussion on permanent contraception.

In the future...
Luna Health hope to provide a birth control service that assesses eligibility for each birth control method.

This will save you time and money
meaning you only need to physically see a doctor once

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