What are the advantages and disadvantages of tubal ligation?

Expert answer:

The ligature is a surgery that interrupts the connection between the uterine tubes and the uterus, avoiding the encounter of the ovum with the spermatozoon and the consequent fertilization. Therefore, the tubal ligation is a permanent, safe and highly effective procedure of contraception. Every woman has a perception of her body and an experience of her sexuality. In this way, the advantages and disadvantages can be relative and personal.

Benefits:

  • Effective and permanent contraception;
  • Absence the use of hormones;
  • Accessible: the surgery is available free of charge by the Unified Health System;
  • Reduction or absence of side effects;
  • Maintenance of the sexual desire and libido;
  • Simple procedure with low risk of complications.

Disadvantages:

  • No protection against STDs (sexually transmitted diseases): because it is a method that prevents pregnancy, many women stop using condoms in sex, which increases the chance of contracting sexually transmitted diseases;
  • Complications related to surgery or anesthesia: although the risk is very low, there may be infection at the surgical site or internal bleeding;
  • Repentance: some women may regret the decision because they would like to become pregnant again, especially when the procedure is done before the age of 30;
  • Possibility of ectopic pregnancy.

To make the final decision, it is important for the woman to consider the family planning you want for your life, if it is the case, talk to the partner and have support from a multidisciplinary team with gynecologist, social worker and psychology.