Female voluntary surgical contraception /Bilateral Tubal Ligation

Female sterilization or Bilateral Tubal Ligation (BTL) is a voluntary surgical procedure to provide permanent pregnancy protection.

How the method works

It is a minor surgical operation that involves cutting and tying the fallopian tubes in order to prevent the sperm from fertilizing the ovum that was released from the ovary and reaching the uterine cavity

Effectiveness

  • It is a highly effective method of contraception, with a pregnancy rate of less than 1% of women in the first year after surgery.

Advantages

  • It is generally a safe procedure when performed by a trained service provider.
  • Has no effect on breast feeding
  • Does not affect a woman’s sexual desire, ability, and performance
  • Cost effective after initial procedure

Limitations

  • Generally irreversible—the success of reversal surgery cannot be guaranteed
  • Procedure needs specially equipped facilities and trained personnel
  • Does not protect against HIV infection (AIDS) and other sexually transmitted infections (STIs)

Side Effects experienced by some users

  • With female sterilization, one may experience minimal risks and side effects of anesthesia, as well as pain and any general risks associated with surgical procedures

Juu life ni kujipanga!

Popular questions

You will get a small injection on your arm to numb you. This means you won’t feel pain at all during insertion. There will be a little pain or soreness as the wound heals for about a week.
Yes. A woman who has not had children generally can use an IUD, but she should understand that the IUD is more likely to come out because her uterus may be smaller than the uterus of a woman who has given birth.
Yes. If needed, ECPs can be taken again, even in the same cycle. A woman who needs ECPs often may want to consider a longer-acting and more effective family planning method
Yes. A woman who has not had children generally can use an IUD, but she should understand that the IUD is more likely to come out because her uterus may be smaller than the uterus of a woman who has given birth.
No. Most research finds no major changes in bleeding patterns after female sterilization. If a woman was using a hormonal method or IUD before sterilization, her bleeding pattern will return to the way it was before she used these methods

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Last modified: April, 2022

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