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Tubal Ligation and Tubal Implants
Tubal ligation and tubal implants do not change your monthly menstrual cycle. You will still release an egg each month (ovulate) and have menstrual periods. You will go through menopause at the same time that you would have if you had not had the surgery. Your sexual desires will not change, although you may feel more relaxed about having sex because you don't have to worry about becoming pregnant.
Advantages
Tubal ligation and tubal implants are permanent methods of birth control and allow you to be sexually active without worrying about becoming pregnant.
Although tubal ligation and tubal implants are expensive, it is a one-time cost. These procedures are usually covered by medical insurance, and there are no costs after the surgery is done. The cost of other birth control methods, such as pills or condoms and spermicide, may be greater over time.
Disadvantages
Tubal ligation and tubal implants do not protect against sexually transmitted diseases (STDs), including infection with the human immunodeficiency virus (HIV). To help protect yourself and your partner from possible STD infection, use a condom every time you have sex.
You must use another form of birth control for 3 months after receiving tubal implants.
Other things to think about
Reversing tubal ligation requires reconnecting the fallopian tubes, and success rates for reconnecting are very low. If you are considering tubal ligation, be absolutely certain you will never want to have a biological child in the future.
- Health insurance coverage may require a waiting period from 48 hours to 30 days under most circumstances.
- Some doctors advise a waiting period between the time a woman requests a tubal ligation and the time the surgery is performed. This waiting period allows you to be certain about your decision.
Complete the surgery information form (PDF) 
(What is a PDF document?) to help you prepare for this surgery.
| By: | Healthwise Staff | Last Revised: May 13, 2010 |
| Medical Review: | Sarah Marshall, MD - Family Medicine Kirtly Jones, MD - Obstetrics and Gynecology | |
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