Risk and contraception : What women are not told about tubal ligation

http://www.popline.org/docs/1029/091715.html

Lyn Turney*

School of Social Inquiry, Deakin University, Geelong, Vic 3217, Australia
Available online 13 July 2002.

Abstract

Tubal ligation is a commonly used routine procedure for female sterilisation. It is promoted as a very safe and highly effective method of permanently controlling fertility. Yet, since the early 1930s, there have been reports in the medical literature indicating that there are both short-and long-term problems with the procedure. This article reviews the medical and scientific literature in which these problems are reported in an attempt to synthesise and make sense of the results and their implications for women. Contrary to the way it is promoted, tubal ligation is fraught with complications which place at risk the health and well-being of many women. Its sequelae includes many gynaecological problems ranging from torsion, hydrosalpinx, and endometriosis to irreversible interferences with the endocrine system. It is clear that tubal ligation is not the ‘clean cut’ procedure that it purports to be, and, in the interests of women, the myths about safety and efficacy need to be publicly dispelled.

The most common method of fertility control is tubal ligation. Physicians and some women promote tubal sterilization as an extremely safe and very effective method of permanent fertility control. Yet the medical profession has known since 1930 that significant numbers of women suffer serious and irreversible complications from tubal ligations; women have died from tubal ligation. Its mortality rates in Bangladesh, the UK, and US, are 1/5000, 1/10,000, and 1/25,000, respectively. Women experience complications both during and after surgery (e.g., twisting of the tube, sometimes accompanied by gangrene, and accumulation of fluid in a tube). After tubal ligation, many women develop endometriosis. Torsion, hydrosalpinx, and/or endometriosis contribute to increased menstrual pain. Disturbance of the local flora can cause sepsis (e.g., toxic shock syndrome). Some women have a severe inflammatory reaction to the silicone in clips and rings. Tubal ligation may be linked to an increased risk of cervical cancer.

Many sterilized women eventually undergo hysterectomy. Many women experience excessive bleeding during menstruation, but many physicians discount this as women not knowing their own bodies and subjective estimates of blood loss. Impaired ovarian blood supply and altered nerve supply to the tube and/or ovary are possible causes for post-tubal ligation menstruation problems. Many women experience memory loss, general decline in feeling of well-being, lethargy, and loss of libido after tubal ligation, indicating a spontaneous iatrogenic menopause. Yet physicians often attribute these symptoms to psychological problems, thereby denying women knowledge of their own bodies. Tubal ligation-induced problems should not be limited to the medical profession. We need to seriously examine the processes that keep this information from women.

Source: WOMEN’S STUDIES INTERNATIONAL FORUM. 1993 Sep-Oct;16(5):471-86.

Abstract: The most common method of fertility control is tubal ligation. Physicians and some women promote tubal sterilization as an extremely safe and very effective method of permanent fertility control. Yet the medical profession has known since 1930 that significant numbers of women suffer serious and irreversible complications from tubal ligations; women have died from tubal ligation. Its mortality rates in Bangladesh, the UK, and US, are 1/5000, 1/10,000, and 1/25,000, respectively. Women experience complications both during and after surgery (e.g., twisting of the tube, sometimes accompanied by gangrene, and accumulation of fluid in a tube).

After tubal ligation, many women develop endometriosis. Torsion, hydrosalpinx, and/or endometriosis contribute to increased menstrual pain. Disturbance of the local flora can cause sepsis (e.g., toxic shock syndrome). Some women have a severe inflammatory reaction to the silicone in clips and rings. Tubal ligation may be linked to an increased risk of cervical cancer. Many sterilized women eventually undergo hysterectomy. Many women experience excessive bleeding during menstruation, but many physicians discount this as women not knowing their own bodies and subjective estimates of blood loss. Impaired ovarian blood supply and altered nerve supply to the tube and/or ovary are possible causes for post-tubal ligation menstruation problems.

Many women experience memory loss, general decline in feeling of well-being, lethargy, and loss of libido after tubal ligation, indicating a spontaneous iatrogenic menopause. Yet physicians often attribute these symptoms to psychological problems, thereby denying women knowledge of their own bodies. Tubal ligation-induced problems should not be limited to the medical profession. We need to seriously examine the processes that keep this information from women.

26 thoughts on “Risk and contraception : What women are not told about tubal ligation

  1. This is an important post as even without the wholesale removal of the uterus and/or ovaries – impairement ensues. What does this say about the the surgical procedure hysterectomy and the mythology of retaining ovaries after uterine amputation or removal.

    [Reply]

    Rachell Reply:

    I AM TOTALLY AGAINST GETTING YOUR TUBES TIED MY DOCTOR ASKED ME DID I WANT TO GET MINE DONE IN 1990 AFTER THE BIRTH OF MY DAUGHTER AND I TOLD HIM NO I WILL JUST DO THE PILLS DO YOU KNOW HE PUT A CLAMP ON MY TUBES ANYWAY WITHOUT MY CONSENT SOMEONE YOU TRUST WITH YOUR LIFE JUST PLAY GOD AND DO WHAT EVER THEY WANT TO DO TO YOU NOW I . TRUST NO DOCTORS ARE NOTHING AFRAID THEY TOO WOULD VIOLATE ME I CALLED A LAWYER HE TOLD ME MY STATURE OF LIMITATION HAVE RAN OUT WHICH IT SHOULDN’T BE A STATUE OF LIMITATION WHEN IT COMES TO SOMEONE’S LIFE AND WOMAN HOOD I FELT LIKE HE JUST STOLE MY WHOLE LIFE AWAY FROM ME AND ITS NOT NOTHING BEEN DONE ABOUT IT NOW I SUFFER FROM DEPRESSION S ND . REALLY HARD ON MY FAMILY ITS REALLY A SHAME HOW THESE DOCTORS LIE TO THESE WOMEN ABOUT TUBAL LIGATION AND THE EMOTIONAL PAIN IT CAUSE JUST SO THEY CAN GET PAID YOU SUPPOSE TO CARE ABOUT YOUR PATIENTS

    [Reply]

    Tonia Reply:

    I’m so sorry that happened to you, and I do agree there should NOT be a stature of limitation being that it was unaware that he performed a surgery on you that you did not consent to.

    [Reply]

    Tanesha Reply:

    I had my tubes done back in 2011after i had my ddaughter and Sinse she is two years,old now i bbeen having problems with my tubal ligation Sinse ihaven’t had my period this month and how i just Now threw up from drinking a,soda and how im,not having any signs of flu or bleeding but have had some crampings bad but no signs of blood Can this be my,final impregnant

    [Reply]

    Tanesha Reply:

    My last period was june 10.2014 im very confused

    [Reply]

  2. I had a tubal ligation back in 1999, i have most of the side effects spoken about here & they are side effects that totally ruin your quality of life & your family. I only discovered these side effects were linked to a tubal ligation last year after 13 years of searching for answers. I have heard some women have had reversals & they are 100% recovered from all side effects. I also have debilitating fatigue, night sweats, muscle weakness, I had low milk supply to feed my baby I had after tubal ligation, food allergies, medication allergies, skin break outs, rashes, weight gain that continues all the time, the list goes on. Yet we don’t have the right to just book a doctor to do the reversal surgery, if we are lucky enough to get one it costs thousands of dollars, how is it fair they deny us the chance to have our quality of life back.

    [Reply]

    kesha Reply:

    Hey!!!! yes I’m having the same symptoms if not more.I have arthritis,ulcer, can’t sleep at night. I also have chills hot and cold. My doctor did not explain to me about the complication u have with u get your tubs tide. sense I had done my body has not been the same. I regret everyday.

    [Reply]

  3. my tubes were tied during a c-section with my 3rd child. i was only 21 years old. i didn’t even know my tubes were tied until 2 days later. its a long story as to how this happened. i never wanted my tubes tied. my husband & i don’t even believe in birth control because of religious reasons. i tried to do something about it but kept getting blowed off by the doctors & even a few lawyers. i was very young & didn’t knew a lot about what i could do at the time. i wish i could go back. i went through a very deep depression after that & have up trying to fight it. a year later i ended up having to have a surgery to remove carcinoma from 95% of my cervix. i have been advised over & over again to have a hysterectomy because of all the problems i now have. i can’t go through with it because i still have high hopes i will one day have another baby. i stool suffer with the depression on a regular basis. it has messed up my whole life. I’ve recently find out more things that will help me in a case against the doctors & the hospital. it was definitely a case of malpractice. my concern is this, it was 6 years ago & i’m worried my time is up to bring a case against them. i wish i knew more about what i could do & then some days i just want to forget it ever happened & leave them be

    [Reply]

  4. I just had an MRI of the knee done the other day (about 25 minutes long) and had really bad gas-like pains in the ovaries all night long! It was almost the same as it was just after my operation! I have had several MRIs before but they were all of the head and spine so didn’t bother the tubal ligation, but this one was quite the killer! Hope it didn’t fly somewhere else in the body. I thought these things were non magnetic!

    The worst thing about all of this is that I had asked to have my tubes cut almost 30 years ago and doctors pulled the stunt of trying them instead, which really upset me because I didn’t want garbage in my body. They probably wouldn’t get away with that in the States but this is Canada. I was so upset when they told me a week later that they decided that since I was just getting divorced I might want to change my mind again later, so they made up their own minds for me. After all, what could a stupid idiot like me know about what I would want in the future? I will never forgive them for as long as I live.

    Anyway, again, they have been OK up until now, but now they are coming out with stronger magnets. Believe it or not, this was only the Tesla 1.5. I don’t know what would’ve happened if it had been a Tesla 3!

    Probably won’t find out for a few years now if anything happened to those tubs in the process that would cause that kind of pain. Hope they won’t be floating around my body. One looks like a microchip and the other looks like a paper clip.

    Just a warning to others with clips. The medical profession has, and always will, tell people things are safe until 20 or 30 years later, and then they will usually reverse that decision.

    [Reply]

    Mandi Reply:

    The clamps they use are not magnetic they are silicone covered surgical steal, so if you were having pain in your stomach it was most definitely not form the clamps.I also have tubal clamps, and have had many many MRI’s on my knee (3 ACL reconstructions and 2 hardware removals) also 2 back MRI’s. I agree the clamps cause more problems than they are worth , Sex is painful, menstruation is more like hell , the weakness , memory loss , and general pain is insane. But what options do we as women have? NONE insurance wont pay it, Medical assistance programs wont fund it, because no medical journal states the actual affects , just like NO doctor will admit that its a huge mistake and a painful life after words.

    [Reply]

  5. I had a tubal ligation in October 2011. I have since suffered from extreme menstrual cramps that reduce me to vomiting and bring me to my knees. I had my surgery when my daughter was almost 2 months old. My periods before getting pregnant with her(my 2nd child) were painful but not like this. Each month it becomes worse and worse. I do not want anymore children, I’m 30 yrs old with a boy and a girl. After the Dr performed my surgery, he informed me that he had put a hole in my cervix!! He acted extremely nonchalant about it but I have to wonder now if this is the cause of some of my problems. If anybody has any advice for me I would truly appreciate it.

    [Reply]

  6. I have lived with pain . I’ve had blood clots and severe bleeding while I was on my menstruation cycle. Sometimes I could not sit down, because I had a very sharp pain in my vagina. It went straight up through my back. I couldn’t even sit down. It hurt so terribly sharp pain! If I had intercourse, it would hurt severely. I lived with that for close to 20 years. Then I was hemorrhaging so badly, every time I would have my menstruation. I would have to go to the restroom every five minutes. And blood clots would just poor out of me. I was so embarrassed ! My pants would be bloody. I could just feel the blood flowing like a water faucet was turned on. Then I went to a doctor who told me I had fibroids, and the fibroids were all around my uterus, and some fibroids burst through my cervix. I have a high tolerance for pain. So I just lived with it. I wonder if if my doctor did something wrong,But the pain consumed my every day life.

    [Reply]

  7. I got my tubes tides on 2010. Well actually they told me they did not tied them or cut them anymore. All they do is put a ring on them. Ever since the surgery i been experience abdominal pain, vomits and nausea. The pain is so bad that i end up crying on the ground holding my stomach. My mom was researching this and she believes the ring is whats causing all of my symptoms.I do not know what to do about it. Please help!

    [Reply]

    Jessica Reply:

    Ladies…we all have messed up this time. I should of listened long ago and kept reading the bible. This tubal thing isn’t for women at all. I seriously can say i regret ever getting this done. But at the same time i didn’t want more kids at the time cause of my living situation then. God do work in mysterious ways….hope and pray god could forgive me and bless me with my tubes bk normal without complications…..all that man made stuff isn’t for us ladies…..i was young at the time but im blessed with two beautiful kids. Daughter twelve and son seven. Im thirty one now suffering just like u all ladies. When i go to the doctor about my tubes hurting, they want to recommend a pain instead of doing an ultra sound to actually see why its always hurting. They don’t care at all. Im leaving it all up God now..I’m tired of worrying and hurting….

    [Reply]

    Mandi Reply:

    Unfortunately there is nothing you can do for it! Unless you go into septic shock, then maybe they’d take them out, but no insurance programs even medical assistance none of them cover clamp removal , as it is considered Elective :( I have been fighting for the past 3 years and the best Ive gotten is $500.00 down and $100.00 every two weeks until the bill is paid off, but id have to have ca lateral or a co signer . My sister had her tubes tied (clammed) around a year ago, she ended up being admitted to the hospital over 15 times within a years time , they said she had an abdominal infection stemming from her ovary. Turns out her ovary was filled with gang green , and had leaked into her abdomen, causing abscesses covering her intestines her liver her kidneys and all the way back to her rectum , she was hospitalized after going into septic shock ( In the ICU) were they did emergency surgery they had to dump 2 gallons YES 2 GALLONS of saline water into one ovary to get the infection out. She still had the abscesses just riddling her stomach and with in a week of releasing her she was re hospitalized because 3 of them grew to the size of a baseball , now she sits with drains in her abscesses and a pic line in her arm so she can OD on antibiotics because NO surgeon will touch her because she is to high risk of becoming septic again. What a wonderful thing the clamp is. And do you think they removed it ? NOPE because that would be admitting that its a fraud. I dont think yours will go to this extreme i pray it wont, but i think people need to know how this “birth control” really works! Good luck with yours , I know i will continue to search for a loop hole because its been hell thus far!

    [Reply]

  8. i had my tubes done after having my 3 son when he was 8 weeks old i woke with joint pain and extreme cramping/ spasm that caused me to black out twice before they got my pain under control.at my 6 week follow up was told that joint pain was normal in some people as reaction to gas. now 7 months have when by joint pain brings me to tears and tiredness struggling to keep my eyes open…i have been my gp’s pin pillow ever since with no leads except it started the day i had my tubes done. i just want answers has anyone else had the same reaction….. test and appointments getting into the thousands now … would have been cheaper to have another child

    [Reply]

  9. Hello I’m Aimee and I’m 39. I had a tubal at 22 after my 2nd child. For years I loved it knowing I didn’t have to worry about birth control anymore. However, over the last few years my periods have gotten very heavy and very painful. Also, I have cramps, fatigue, and nausea all month. I really want a hysterectomy. However, I’ve been told without serious problems I can’t

    [Reply]

    wendy Reply:

    Hello I am 42 years old, my son is 22 years old, I had a tubal when he was 3 years old, with in the last 5 years I have been begging for a hydro, cause I cramp really bad and I was told if there is nothing medically wrong with me NO!!! I feel like if I am not having anymore kids, I should not have to deal with pain!!!

    [Reply]

  10. I had a tubal ligation at age 29, after my 4th child was born. I am 30yrs old now, and before the tubal, always had an EXTREMELY healthy libido. Now i could care less about intimacy or anything sexual, and have become quite the firecracker in relation to mood swings and depression. I have lost interest in many things and have felt severely fatigued irritable and all around unhealthy ever since the procedure. I was skeptical to have the procedure in the first place, due to horrible stories told by friends/family who have had had it done. I was SO very fertile that I thought it would be well worth the risk… now i regret it! My symptoms alone have caused turmoil in my relationship due to lack of energy and stamina being misconstrued as lack of interest in my partner. What can I do now!!!

    [Reply]

    kesha Reply:

    Yes queen I agree!!!! I’m going through the same exact thing. I pray that God would heal our bodies. I have not been the same sense tublagation.

    [Reply]

    kesha Reply:

    Yes queen I agree!!!! I’m going through the same exact tthink.

    [Reply]

  11. Hello all!!! I’m going through the same thing!!!!! I’m in pain all time. I had my tublagation two year’s ago, and sense than have a ulcer, arthritis, headache and sense than I been sick a lot. I was fine before.I’m so sorry for the woman who going through. tublagation wasn’t ment for woman to have.

    [Reply]

  12. Hello!!!! I just went to the hospital and found out that I have another ulcer. I don’t understand!!!!! I am in my thirties I’m not suppose be going though because I had my tubs tide. all these complications. God never intended for us to have our tubs tide.

    [Reply]

  13. I had my tubes tied 6 months after my daughter was born, she was my 3rd child and it was done at 24. Since then I have had horrible bleeding,and cramps which I was told about. What I did not know was all the pain that would come with it or all the night sweats and hot flashes as well as pain during sex and I mean aweful pain where I felt like I was in labor type of pain and the cysts. Here I am 12 yrs later and just had surgery and found out I have endemetriosis and will be having a hysterectomy at 36 keeping my other overy that doesn’t get cysts on it. If truly knew the outcome of my decision I would never have done it. The pain I have dealt with during sex and everyday kills me and to think if I was properly informed trust me I would have never ever have done it.

    [Reply]

  14. Hi!I had my tubal in 2003 during a c-section.From the beginning I had extreme pain in my abdomen.More on my right side like someone was tugging at it.It was making me pass out all the time,even when I got home.Then 3 months later I started having seizures,from there my health went down.Thyroid issues,weight gain,the weight gain caused the diabetes,and sleep apnea,trouble losing it.Constant cramping and pressure in stomach and severe bloating at times just lying down or sitting is so uncomfortable and having clothes on too.Excessive Gas and since tubal sorry tmi but maybe someone will relate to this.A bowel issue,unable to go had tests to see why and some sort of blockage dont know what though.So docs only medicating to force faster movements and regulate.Mood swings were horrible and people were afraid to talk to me for fear of what mood.Memory,crying,headaches severe,medical bills in the thousands and beyond.Blood clots never had them before.Please if anyone relates or would like to talk more contact me.I am all in on this.Need to stop tubals and need to investigate them more.

    [Reply]

  15. I am going through the Same thing also. I got my tubes tied in 2002 and my body hasn’t been the same yet. I have had surgery to remove the fiber tumors an they have returned. My cycle is very heavy with a lot of blood clots, I get really dizzy I’m very weak, I stay on for weeks, i’m very depressed, I hurts when I have intercourse. I have night sweets. It crazy because they can tie your tubes with insurance but want untie them with it. It cost us 8 an 9 thousand dollars to get them untied can someone help us please.

    [Reply]

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>