This is ideal for couples who have completed the family and do not wish any more children. It is a very effective form of contraception. It is a one time, permanent procedure.  The procedure is relatively easy and without major complications. It has to be done by a skilled doctor, under sterile conditions.
Sterilizations are more cost effective as couples do not require regular contraceptive supplies or check ups reducing the time and money spent on contraceptives.
Consent for surgery should be mutual, truly voluntary and informed.

  • You need to have at least two children.
  • Youngest child should be over 2 years if you have only 2 children.
  • Age of the female should be more than 26 years.
  • Eggs are made in a woman’s ovaries. One egg is released each month. It passes through one of the fallopian tubes towards the womb. Sterilization blocks each tube. Pregnancy cannot happen if the sperm cannot reach the egg.
  • Couples who have completed their family.
  • Women who should not have any more kids and when other modern methods of  contraception are also not indicated.
  • Women with a history of serious obstetric complications.
  • Women who have undergone repeated caesarean sections.
  • LRT is 99.9% effective if done properly by well trained personnel. The effect is immediate.
  • Sterilization is safe and, because it lasts for life, it is simple and convenient.
  • Many couples say that they have more sexual pleasure because they don’t have to think about unwanted pregnancy anymore.
  • Sterilization does not change your hormones. The hormones that affect hair, voice, sex drive, muscle tone, and breast size, are still made in the ovaries. Those hormones still flow through the body after sterilization. It will not cause symptoms of menopause or make menopause happen earlier.
  • After child birth– preferably within 48 hours, but up to 7 days after child birth or any time after 8 weeks of delivery. Sterilization can also be done just after the LSCS procedure

    If you are having regular monthly bleeds– Within the first 7 days of menses

Is done under local or general anaesthesia by trained medical doctors under sterile conditions. No need of overnight hospital stay. The procedure will only take about 10 -15 minutes.

This can be done by any of the following methods,

  • Ligation of the tubes (tying and cutting the tubes)
  • Ligation and resection of part of the tubes (LRT) (tying and removing a small piece of tube)
  • Mechanical occlusion (blocking) of the tubes with clips or rings
  • Mini laparotomy – simple procedure under local or general anaesthesia.
  • Laporoscopic surgery – under local or general anaesthesia. Needs specially trained doctors. Therefore best carried out in a hospital setting. A small cut is made below the naval.
  • Bed rest for about one day, and resume normal work after that depending on how comfortable you feel.
  • If there is pain take a mild pain killer like paracetamol every 6-8 hours.
  • You can have sexual intercourse when the discomfort is over.
  • Do not wet the area of incision for 5 days.
  • Get your doctor to remove sutures after 5 days.
  • high fever,
  • dizziness with fainting,
  • persistent or increasing abdominal pain
  • blood or fluid coming from the incision.
  • Although the name sterilization indicates a procedure that is permanent, it can be reversed. But the return to fertility cannot be guaranteed. The reversal surgery is more complicated. Therefore the couple should think very carefully and consider the pros and cons of surgery before embarking on this.
  • No, it does not protect you from sexually transmitted diseases, you need to use another method such as condoms..