Patient Resources

Long-Term Side Effects of Tubal Ligation

Tubal ligation is a surgery that is performed to block a woman’s Fallopian tubes. This procedure prevents a woman’s eggs from moving from the ovary through the tubes and to the uterus. Sperm is unable to reach the egg in the Fallopian tube after ovulation, so pregnancy is prevented. Some women may experience long-term side effects that include the following:

Regret After Sterilization

Though not all women will regret their decision to receive a tubal ligation, others may. Some factors that can influence this feeling of regret in women include being young at the time of the procedure, often being age 30 or younger, and unforeseen life events such as a new spouse or a child’s death. Some women may experience regret if they chose sterilization due to pressure from a partner or solely for a medical indication. When considering a tubal ligation, think about your full range of contraceptive options and which one would be best for you.

Sterilization Failure & Ectopic Pregnancy

Sterilization failure is a rare complication that may occur years after the procedure has been performed. Reasons for sterilization failure include undetected preexisting pregnancy, occlusion of the wrong structure, incomplete or inadequate occlusion, slippage of a mechanical device, development of a tuboperitoneal fistula, and spontaneous reanastomosis or recanalization of the previously separated tubal segments. When sterilization failure occurs, the pregnancy is more likely to be ectopic than it would be in a woman who has not been using contraception and becomes pregnant.

Menstrual Cycle Changes

Tubal ligation may cause menstrual changes in various ways. Blood supply to the ovaries may be interrupted and reduced, which can cause ovarian dysfunction and alter the ovaries’ production and/or release of estrogen and progesterone. There may also be interference with the direct diffusion of estrogen and progesterone from the ovaries to the uterus, leading to endometrial malfunction. Another possibility is uterine vascular congestion.


NCCRM offers many types of tubal ligation, including bipolar coagulation, fimbriectomy, monopolar coagulation, and more. Tubal ligation is considered to be a very safe procedure and complications are rare. Although tubal ligation is not intended to be temporary, our doctors can reverse them. To begin your tubal reversal process, please begin by filling out this form. Check your BMI here to see how your weight affects the cost of your tubal reversal surgery. To learn more or schedule a consultation, contact us.

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