Birth Control Facts

Bilateral Tubal Ligation

Male And Female Versions Of Bilateral Tubal Ligation

<

When most people hear the phrase “bilateral tubal ligation”, they immediately think of it as an operation just for women.   That said, as women have fallopian tubes that are cut in order to achieve sterilization, males have a complimentary set of tubes, known as the vas deferens.  Today, couples considering sterilization should seriously consider which partner would be best suited for bilateral tubal ligation. 

Among other things, bilateral tubal ligation for women will involve time in the hospital.  Because the gynecologist must cut into the abdomen in order to reach the fallopian tubes, complications can occur.  A woman undergoing a bilateral tubal ligation will also require surgical strength anasesthesia.  Sometimes, women that are pregnant and need to have a C-section often opt to have bilateral tubal ligation performed at the same time. 

In male circles, there are many euphemisms for the vasectomy, or “Big V”.  Basically, it is much safer for a man to have a bilateral tubal ligation than a woman.  Among other things, the vasectomy is carried out right in the doctor's office.  From start to finish, the procedure takes about 45 minutes.   

Because the vas deferens connect the testicles to the penis, cutting them will prevent semen from exiting the penis.  During the vasectomy, the doctor makes one cut on each side of the penis, and then goes on to cut and cauterize the tubes.  Once this is accomplished, it will take a few weeks before all signs of sperm are eliminated.  A simple sperm count test will confirm that sterility has been achieved. 

On the other hand, males might experience some long term problems as a result of having a bilateral tubal ligation.  Among other things, just because the vas deferens are severed, the testicles do not automatically stop making sperm.  As a result, even years later, a man may experience testicular swelling and pain as a result of backed up semen. Aside from this, some males that have had bilateral tubal ligation experience permanent decreased sensation during intercourse.  Paired with that, there may also be reduced ability to maintain an erection, and reduced libido.  On the other side of the coin, some men find that while it takes longer to get aroused, they can enjoy  having this extra time to lavish on their partners. 

Today, bilateral tubal ligation is one of the most assured methods of achieving contraception.  Unfortunately, if you decide later that you want to have children, the surgery may not be easily reversed.  Consider that  many women regret having a bilateral tubal ligation.   Irregardless of whether you are male or female, it is best to take some time before making a decision about sterilization. 

Depending on the relationship you are in, and the health issues of each partner, it make more sense for one partner to have bilateral tubal ligation than the other.  As an example, if a woman would be at risk during the surgery, it may make more sense for the male to have a vasectomy.  That said, both partners need to seriously consider long term health consequences, as well as the possibility of wanting to have more children.