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Permanent Birth Control

Written by: Henry Zuniga, MD

Three major types of permanent birth control are widely performed. These methods are not appropriate for women who wish to have more children. These methods are:


  • Surgical sterilization (Tubal Ligation) - In this    method the fallopian tubes are cut, blocked, or tied off.    This can be performed at the time of cesarean section    or immediately after a vaginal delivery. It is also    performed as a laparoscopic procedure. This method    works by preventing sperm from reaching an egg(s). It    has no effect on hormone levels or the menstrual cycle.    The failure rate for this method is very low.
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    • Transcervical sterilization (Essure) - In this method coils are inserted into the fallopian tubes using instruments passed through the vagina and cervix. Since no skin incisions are made, recovery time is faster than surgical sterilization. After 3 months scar tissue forms that blocks the fallopian tubes. No effect on hormone levels or menstrual cycles is present with this method. The failure rate is similar to surgical sterilization.

    • Vasectomy - In this method the sperm tubes are tied or sealed in an outpatient surgery via an incision in the scrotum. This causes sperm blockage and prevents pregnancy. This method does not affect sexual performance and does not require action by the female partner. The failure rate is very low.

       If you would like to discuss this topic further, contact your physician at The Woman's Wellness Center, P.C.


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