Your Fort Worth and Grapevine ObGyns offer safe and effective permanent birth control at Women’s Integrated Healthcare, P.A.
When you no longer want worries about babies or birth control, you can ask about permanent sterilization. The knowledgeable female ObGyns at Women’s Integrated Healthcare P.A. can provide you with options for peace of mind and preventing unexpected and unplanned pregnancies.
Gone are the days of invasive surgery and multiple days in the hospital. Today we can perform an in-office procedure or minimally invasive surgery, and you can relax at home the same evening.
Since sterilization is permanent, you and your spouse or partner should be in agreement before committing to the procedure. Either the male or female partner can opt for a sterilization procedure. For women, we perform tubal occlusion, closing off the fallopian tubes so that egg and sperm cannot meet in the Fallopian tubes. For men, sterilization is done via a vasectomy. His urologist will cut, tie, clip or seal off the vas deferens tubes to prevent the release of sperm during ejaculation.
Permanent Sterilization Options for Women
Tubal Ligation: Often called postpartum sterilization, the procedure is associated with childbirth and done while the uterus is still swollen. For vaginal deliveries, we use minilaparotomy to create a small incision in the abdomen. The fallopian tubes are cut or closed with thread. For women undergoing a cesarean section, their tubes are sealed off immediately after the baby is born and before the incision is closed. Tubal ligation can be performed in the hospital after your child is born without extending your hospital stay.
Tubal Ligation with Laparoscopy: Our ObGyns insert a laparoscope through a small incision near the navel after “inflating” the area with gas. They locate the fallopian tubes and may insert another instrument through a second incision to close the tubes with bands, clips or special thread, or seal them with an electric current. An outpatient procedure performed under general anesthesia, the entire process takes two to four hours and is effective immediately. Patients should plan to have someone drive them home.
Essure® hysteroscopy: Unlike laparoscopic sterilization, the Essure® procedure does not require an incision and can be performed under local anesthesia in our offices. A hysteroscope is inserted through the vagina and into the uterus, allowing our ObGyns to locate the fallopian tubes. Small nickel-titanium implants are inserted into the fallopian tubes, and normal scar tissue will develop around the implants, blocking the tubes. (Patients allergic to nickel and certain dyes should inform their physicians.) The process takes about three months to become effective; in the interim, an alternate form of birth control must be used. After that time, your ObGyn will perform a confirmation test – a special X-ray procedure — to ensure that the tubes are fully blocked.
What Happens Next?
It is important to use contraception for several months after most procedures to ensure that the fallopian tubes are effectively blocked, or that there is no longer sperm in men’s semen. As with all female sterilization procedures, there is a minimal risk of an ectopic pregnancy. Keep in mind that sterilization does not prevent sexually transmitted diseases, including human-acquired immunodeficiency virus (HIV). A condom is required if this is a concern.
Once you and your partner have decided that there is no diaper duty in your future, talk to the ObGyns at Women’s Integrated Healthcare P.A. about your options for permanent sterilization. Contact our Fort Worth or Grapevine ObGyn office to make an appointment with one of our skilled and caring physicians. We serve patients from Grapevine, Southlake, Flower Mound, Keller, Colleyville and the surrounding