When it comes to contraception, there are many options available to suit different lifestyles and needs. For those looking for a permanent solution, female sterilisation is one of the most effective choices. Let’s explore what female sterilisation is, how it works, and whether it might be the right option for you.
What is Female Sterilisation?
Female sterilisation is a permanent method of contraception that involves blocking or sealing the fallopian tubes. This stops eggs from travelling from the ovaries to the uterus, preventing fertilisation. It’s a highly effective option for individuals who are certain they don’t want children—or don’t want more children—in the future.
How Does it Work?
The procedure is usually performed through keyhole surgery under general anaesthetic. There are two common methods:
- Clipping or blocking the tubes: Using clips or bands to seal the fallopian tubes.
- Removing the tubes (salpingectomy): Completely removing the fallopian tubes to prevent pregnancy.
The operation typically takes around 30 minutes, and most people can go home the same day.
How Effective is Female Sterilisation?
Sterilisation is over 99% effective at preventing pregnancy. However, no method is 100% foolproof. In very rare cases, the tubes can reconnect over time, which could lead to pregnancy.
It’s important to remember that sterilisation does not protect against sexually transmitted infections (STIs). Using condoms alongside sterilisation is still recommended to reduce the risk of STIs. You can order free condoms via the eC-Card app.
Is Female Sterilisation Right for You?
Female sterilisation is a big decision and should only be considered if you’re absolutely certain you don’t want children in the future. While it’s technically reversible, the procedure to undo it is complicated, expensive, and not always successful.
Here are some things to think about:
- Certainty: Are you confident you won’t want (more) children?
- Alternatives: Have you explored other long-term contraceptive options, like the implant or intrauterine device (IUD)?
- Life changes: Could your feelings about children change in the future?
What are the Pros and Cons?
Pros:
- Permanent contraception—no need to worry about pills or appointments.
- Over 99% effective at preventing pregnancy.
- Doesn’t interfere with your hormone levels.
Cons:
- Requires surgery, which comes with some risks, such as infection or complications.
- It’s permanent—reversal isn’t guaranteed.
- Doesn’t protect against STIs.
Who Can Get Female Sterilisation?
In the UK, sterilisation is available through the NHS or private clinics. It’s a personal decision, and your doctor will want to ensure it’s the right option for you. They may discuss your reasons, lifestyle, and long-term plans to make sure you’re fully informed.
Sterilisation is available to anyone with a uterus, regardless of marital status or whether they have children. Your decision matters, and healthcare professionals should respect your autonomy.
What Happens After the Procedure?
Most people recover quickly from the operation, with mild discomfort lasting a few days. You can usually return to normal activities within a week, but your doctor will advise you on any restrictions.
It’s important to use contraception until your doctor confirms the procedure has been successful.
Exploring Your Options
Female sterilisation is a great option for those seeking a permanent form of contraception, but it’s not the only choice. Long-term reversible options, like IUDs, implants, or injections, might be worth considering if you’re unsure about permanent solutions.
Remember, contraception is not one-size-fits-all—it’s about finding what works best for you.
Need Help Deciding?
If you’re thinking about female sterilisation or exploring other contraceptive options, we’re here to help. Visit Essex Sexual Health Service for expert advice and free, confidential support.
Your body, your choice. Take control of your reproductive health today.
