I had my tubal ligation procedure done last year using a clamp method. 4 clamps were implanted on my fallopian tubes at the closest points to the uterus, where the tubes are at their fattest. The reason for this was in case I decide one day I want to try getting pregnant, a reversal would have a higher chance of success with the clamps placed closest to the uterus. You have a higher chance of reversal success using clamps over cauterization (obviously). Many people are surprised to know that my gynecologist agreed to tie my tubes when I’m less than 30 years old and have no kids. However, given my medical history (I have endometriosis) and the fact I raised it with him 2 years in a row, he was comfortable granting me my wish.
Prior to the surgery, I had an appointment with my gynecologist to go over everything. I asked him if he ever had a patient report post-tubal ligation syndrome or any negative symptoms like those found online. He said absolutely not; just a couple of patients reported pain from feeling the clamps and one asked to have them removed because of that. There is a lot of argument about the validity of post-tubal ligation syndrome, primarily that a lot of the symptoms coincide with artificial hormone birth control withdrawal, hormone replacement therapy symptoms, postpartum depression (a lot of women have their tubes tied at the same time as a c-section), etc. I also had an appointment with my naturopath to discuss any possible side effects of going off the pill and I was readily prepared with herbal vitamins that she gave me.
It was a day procedure. I went in late in the morning, had the surgery done around 1:00 p.m., and was sent home around 4:00 or 5:00 p.m. that day. I won’t bore you with the recovery details. Prior to the surgery, I was on the pill for just over 8 years. I stopped taking the pill maybe about a week or so before the surgery.
I didn’t go through much in the way of emotional or physical upheaval with going off the pill. I didn’t gain or lose weight; I wasn’t miserable or unhappy. In fact, I would say my overall mood improved, PMS mood swings decreased, and my libido went through the roof! *lol* For a few months after the surgery, I could occasionally feel a pinching or pressure approximately where the clamps are. That could be a combination of the foreign matter and my endometriosis. It wasn’t extremely uncomfortable or painful, but it was noticeable, especially if I also had to pee really badly.
Now a year and a half later, I very rarely notice anything different. I am much more in tune with my cycle now and, in fact, I sometimes feel a pinching during ovulation of which ovary is releasing an egg (this is not uncommon for women who aren’t on artificial hormones). I’m very much aware of when I’m ovulating, when I’m getting close to my period, etc. I was disconnected and didn’t experience that when I was on the pill, only knowing roughly when to expect my period because it was the week off the pills and, with having endometriosis, my period would show up whenever it wanted anyway. It’s amazing to be so in tune with one’s body. The biggest, best, and most awesomest effect for me getting my tubes tied/going off the pill is that my endometriosis symptoms have vastly decreased. There is a HUGE difference! I used to have pain from my endometriosis regardless if I was on my period or not and it was so hit and miss. The pain would be so bad that I’d feel immobile and would need to just lie in bed all day or find a comfortable position on the couch. Now, I rarely have pain that I can contribute to my endometriosis outside of my menses cycle. That isn’t to say I’m completely pain-free when I’m on my period, but it definitely has improved to a point where I feel it’s more manageable and bearable most of the time.
If tubal ligation is something you’re considering, I say go for it after you have thought long and hard about if it’s right for you. You must be confident that you do not want to have children or don’t want any more of them. I would hate for women to go ahead with it and think “I can just have it reversed if I change my mind.” Yes, you could; however, that doesn’t mean it will be successful. It would be foolish to consider getting your tubes tied with the idea that you might want it reversed one day. I would highly recommend clamps over cauterization or other methods. Please don’t be afraid or put off by the negativity online. I’m sure some people grossly embellish what they went through and likely had/have a host of other problems that cannot be blamed on having this procedure done. Have a candid discussion with your doctor about tubal ligation, take in a list of questions you have, and even talk to a naturopath or other alternative/natural health specialist. I happen to have an amazing gynecologist who I know won’t BS me and is supportive of my choice to see a naturopath.
Thanks for reading and I hope this was helpful! If you have any questions, please leave a comment and I’ll speak from my own experience.