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Surgical contraception-Advantages and Disadvantages

Surgical contraception-Advantages and Disadvantages

by: Dr. Pooja Mehta
Sr. Consultant - Obstetrics & Gynecology

What are the surgical contraception methods?

Surgical sterilization is viewed as a permanent technique for contraception. In specific cases, sterilization can be turned around; however, the success of this procedure is not ensured. Thus, sterilization is implied for men and ladies who don’t plan to have kids later on. It is the best way to ensure family planning and is one of the most sought after methods for the same in India. It should be usually done when both the partners agree to opt for the same. Contraception in the form of pills can have some side effects and can affect the woman in numerous ways, however, when you are through with planning your family and don’t want to have any more, opting for a surgical intervention makes sense.

TUBECTOMY (tubal ligation): Surgical Contraception did in women 

In this, the fallopian tubes are cut each side, and a little piece is taken out, making it impossible for the egg and sperm to meet. This is done in theater and is more confounded than a Vasectomy. It is very difficult to reverse, and if it is reversed it can lead to an increased risk of ectopic pregnancies, which is when pregnancy occurs outside the uterus. Tubal ligation should not have any impact on a lady’s menstrual cycle or hormone generation.

VASECTOMY: Surgical Contraception done in men   

It is a type of sterilization of a man. A vasectomy guarantees that no sperm will exit from his penis when he discharges during sex. Amid a Vasectomy the tubes that take sperm from the testicles are cut, which keeps the sperm from getting into the discharge. It’s also important to remember that the man will continue to produce sperm; it just won’t be in the ejaculate. This implies in the event that he at any point needed to have more kids it be accomplished reasonably effortlessly. A vasectomy does not interfere with the capacity of a man to have an erection or the amount of his ejaculation fluid.


Sometimes this method does not provide permanent birth control (i.e. tubal ligation failure). This is likely caused by an incomplete closure of the tubes. If pregnancy does occur after the procedure, there is an increased risk for an ectopic pregnancy.

  • ADVANTAGES: Vasectomy involves no hormones. It is permanent. The procedure is quick with few risks. Female sterilization does not involve hormones. It is a permanent form of birth control. There are no changes in libido (sexual desire), menstrual cycle, or breastfeeding
  • DISADVANTAGES: in case of vasectomy men may regret the decision later. Vasectomy does not prevent a man from contracting sexually transmitted diseases. Short term discomfort is there. In tubal ligation, there is minor surgery required. It has no protection against STIs. It is performed under anesthesia.

If you are wishing to opt for surgical contraception, discuss the same first with your partner and then consult a gynecologist if you are a female and a urologist if you are a male. Remember that these procedures are safe and can be carried out in one day only.

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