Tubal Ligation During C-section. Side Effects???? Complications with PCOS?

Updated on February 15, 2010
J.F. asks from Bloomington, IN
16 answers

Hi Mamas!

I did a little research on this site already, but wanted to ask it anyway since Mamapedia reaches more moms.

What have your side effects been after your tubal ligation? Have you had PCOS and has that affected things?

We know we are done having our own children (will probably adopt in the future) and my doctor keeps asking me if I want my tubes tied. I made up my mind that I did, but have heard that many women suffer from worse periods than before, major mood swings/depression, and have had to have hysterectomies later.

If my periods get worse after this, then I am done! I am not a candidate for an IUD or ablation and I plan to breastfeed for at least a year of this babe's life. The mini-pill made me psycho. The regular pill 9 years ago (used for about 9 years) worked great and I'm afraid to have my tubes tied and then still need the regular pill to help regulate me and make my periods manageable and insurance deny me because I already had a birth control procedure done. And, I'm worried that the regular pill may not affect me the same way it did before!

I would love it if my doctor could just take my uterus during the c-section, but she said she will only do that to save my life at the time of a c-section since you lose so much blood as it is.

My husband is willing to have a vasectomy, but I heard he may not be a candidate since he has had a hernia.

I can't risk another pregnancy. I am turning 36 and with all of my problems with both of my pregnancies, it would be too risky for me and the baby. It was a miracle that I even became pregnant both times.

Please help me! I see my doctor again today and will ask her for more information. But, since she talks about it so easily, I think she will tell me it is no big deal. I want all of the information I can get.

What can I do next?

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Featured Answers

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L.R.

answers from La Crosse on

I just wanted to add that I had the same problem with a generic form of the mini pill after my first child. I literally could not stand to be around myself. It was awful! A doctor recommended that I try the non-generic mini pill and it made a world of difference. From what I understand, there can be a much greater variation of hormone levels from day-to-day in generic forms of birth control.

Best of luck in whatever you choose!

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V.R.

answers from Las Vegas on

Hi, J. I can not tell you to do it or not too. BUT.. i will say from my own experience NO DONT DO IT! I have had so many ,many changes and all are not good ones that I am now going to get it reversed and im going to be 37. All i wished for was someone to tell me not too and I prob would had changed my mind.
I got mine in 2001 and have never been the same.
Heavy bleeding,always feeling like your preg,headace,feel nausas,itchy crawling skin,lost a good amount of hair,gain over 30lbs,breast hurt,can not sleep, everyweek its a side affect of some sort, I read this post that i came upon and man I wished i had before I got mine done. Becasue even to ask your doctor about your symtoms and you even say is it becasue of the tubal they ALL will say no. Until i read this
posthttp://retardedrugrat.wordpress.com/2006/06/14/post-tubal...
I have allot of those symptoms. So i hope you really are sure about this. Becasue there are no insuarance companies that will pay to reverse it.
I t is very pricey. I wish the best of luck , I hope I helped a lil.. God Bless

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C.L.

answers from Minneapolis on

Have you asked your doctor about Essure? Are you a candidate for that? It's a new method of permanent birth control in which your tubes are blocked. It's less invasive than a traditional tubal. I don't know what the side effects are, but people on this website have been happy with the procedure. Good luck.

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S.W.

answers from Minneapolis on

I would investigate more closely the possibility of your husband getting a vasectomy. That procedure is easier, faster recovery, cheaper, and (I believe) has fewer possible side effects.

1 mom found this helpful
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H.G.

answers from Minneapolis on

J.,
I had my tubes tied 9 years ago and it's the worst decision I've ever made in my life! It incerased recovery from the birth right away -I had lower back pain for several months afterwards. Side effects that did NOT show right away were I was diagnosed w/endometriosis and had to have surgery to remove scar tissue....the endo caused extreme pain (during periods, during intercourse & sometimes I was in pain for no good reason) - and I was told I had a very mild case. Since my tubal I've had irregular periods and still have them like I was very young -- very heavy and very painful! I'd rather give birth several times more than have a tubal again!
That aside, I've heard from SEVERAL men who've had vasectomy that it's no big deal...if your husband is not a candidate maybe try alternative birth control until he is a candidate?
Hope this helps --- it's really a personal decision but I wish someone woud've told me how it feels ---- AND now that it's been 9 yrs I feel sometimes that I'm "less" of a woman because I can't have another child if I wanted to.

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C.B.

answers from Des Moines on

I had my tubes tied the day after my 4th child was born. I've never had a c-section, so I had it done as a separate procedure. I, too, have PCOS. I talked to my doctor about weather it was worth it to get my tubes tied, since I would have to be on B/C the rest of my life for the PCOS. She said that she thought I should, since doctors may come up with another way to treat PCOS, besides B/C someday, and then I would wish I had gotten my tubes tied. Since having my tubes tied, things haven't been that different for me. My period was heavier for a year, but other than that, I haven't noticed any difference. I do suffer from migraines now, but that didn't happen until 4 1/2 years after my tubal, so there is no reason to think the two are linked. I am on Seasonique for my PCOS, and I love it! One period every 3 months is great!
My best friend and my sister-in-law have also had their tubes tied right after having a baby. One was during a c-section, and one was not, like mine. Neither of them has suffered any changes, other than a heavier period for about a year. They don't have PCOS, so they are not on any B/C, and are doing just fine.
I would recommend a tubal ligation to anyone who is sure they don't want to have anymore kids. Your husband having a vasectomy is always an option, but I have had several friends who went that way, and then ended up splitting with their husband, (in one case, her husband passed away), and then they had to go back on B/C because their new partner did not have a vasectomy. If you are sure that you don't want any more, the best option, in my opinion, is for you to get your tubes tied. Then, no matter what the future holds, you don't have to worry about getting pregnant.

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L.H.

answers from Milwaukee on

I had this done during c-section. Part of me wonders if I should have had it done. My periods are irregular, more cramps, more blood and clotting. I don't regret not having any more babies since I knew we were done. I just don't like the side effects of having a c-section.

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M.K.

answers from Green Bay on

Hello. I had my tubes tied following my c-section. I figured since my doctor had to be in there anyway to deliver the baby, why not have my tubes tied. It was a decision my husband and I made very early on in my pregnancy. I have not had any worse periods than before. I also did not have any issues with PCOS. Good luck with your decision.

M.

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M.S.

answers from Minneapolis on

I had it done during my c-section, I don't have any changes except my periods are now so painless that I never prepared for one coming( had to put tampons in all my purses because I never know now and dont pay attention on calendar.Before I used to have a lot of pain,but less blood.Now they are painless,but a little longer.This is good thing.
Here comes the bad thing.
I don't want to scary you,I had supposedly very good doctor,she is the head of United Hospital perinatal department-all they do is high risk pregnancies,c-sections,etc.So,long story short-she " accidentally"tied my tubes with urethra,I almost lost my kidney and died 6 days after my c-section.
So,yeah.If I had a slightest idea that simple procedure could turn into a nightmare,I'd never let her talk me into it.
Thanks God( and talented urologist who saved me in emergency room) I'm fine now,but I wish I never done this.

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C.F.

answers from Milwaukee on

I stil had PCOS after my tubal ligation which I had duing my c section. My first delivery was a vacumme extraction after pushing for nearly 4 hours. My periods were just as horrible as they had been not worse.

About 6 months later I had to have two hydro thermal ablation surgeries because I have a problem with my uterus being tipped and they missed some the first time. I went from having two week periods down to having light spotting. I am not sure why you are not a canidate for this surgery but it saved my life! My friend who is also 37 opted to have a hysterectomy but only as a last resort. She also had the abation surgery. She is not on any horomones and is doing fine.

Good luck to you in making this decision. I don't know your full story but your doctor will help you make a informed decision.

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K.R.

answers from Minneapolis on

I had my tubes tied during my 2nd c-section, because pregnancy turned out to be a life-threatening condition for me. It never occurred to me that it could be a big deal. And it wasn't. No symptoms, nothing. I felt exactly the same afterward, only relieved that I couldn't get pregnant anymore.

My periods were always bad, and they stayed bad. Not the tubal ligation's fault. I think you should go ahead and do it.

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J.E.

answers from Minneapolis on

I can't answer to the PCOS question, but my experience with TL after my second C was good. I attribute any increase in discomfort during my period afterward to the fact that my cycles were so suppressed by the pill. Side effects get talked about, but they are the exception versus the norm. Everything has potential side effects - find some statistics to see how common they really are & talk to your doctor. The potential side effects of another pregnancy are high enough that you are wise in considering this option.

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S.D.

answers from Minneapolis on

***I would also like to add, you may consider having it done at least a year after having your last baby, not when you have a c-s. I have since learned That there is less of a risk of such problems if you wait at least a year after having a baby. But, again, talk to your doc, get a second opinion from another doc, too.****

I agree with Veronica, I recommend against it. I, too, had difficult pregnancies and decided to have a tubal with my planned c-s. I used to have VERY regular periods, they were like clockwork, every 4 weeks on the dot. Now they are anywhere from every 3-6 weeks, more often every 3 week than every 6 weeks. They used to be VERY light, all I needed was panty liners. For the first few years after having the tubal, I felt like I couldn't even leave my house the first few days of my period because it was SOO SOO heavy. I wore heavy duty pads and still leaked every time I stood up. It has been almost 7 years now and they are lighter, but still much heavier than before. My periods are longer - they used to be 3-4 days, now I get what is almost like a second period. I get a heavy one for 3-4 days, then I think I am almost done, and it starts again for another 2-3 days. I now get HORRIBLE migranes, which I NEVER had before. They start a few days before I get my period and usually last for a few days into my period. I could go on, but won't, you get my point. I NEVER knew any of these side effects. Of course my doc did tell me there were possible side effects, but I really didn't think anyone really had problems after a tubal. I have come across MANY MANY MANY people with the same problems. It is SO NOT worth it. I did go on the mini pill for awhile, trying to solve some of these problems. It did help, a little, but started a whole new set of problems. My dh and I wish they could have just taken my uterus when they did it, but, like your doc said, they only do it if it is medically necessary at the time. Do more research, talk to your doc about your concerns, check into your hubby having a vasectomy. Only you can make the decision, just make sure you are fully informed. Good luck and congrats on a new little miracle.
S.

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J.J.

answers from Omaha on

Hi J.,
I will probably have an unconventional answer here, but I just want to give you something to think about.

The reason there are side effects of a tubal ligation is because it's a surgery to "fix" something that isn't broken. There is no other organ in our body that medicine tries to change when it's working properly. I do understand that you say you have difficult pregnancies - I do too. You also say you're open to a hysterectomy. Please don't do that unless it's absolutely necessary. Once you do that you open yourself to another host of medical problems down the road, one being a vaginal prolapse.

Before you make any decisions, I highly recommend you look at all your options. Would you ever consider using natural family planning? My husband and I used to teach couples how to achieve and avoid getting pregnant through the sympto-thermal method of natural family planning. There are other methods out there as well that work great. They are just as effective as the pill, and honestly, after all these years of teaching and knowing women who've been on the pill, I believe it works better than the pill at avoiding pregnancy.

I think you're very smart to look around for other options and get as much information as you can before making any decisions. I'm a nurse and I've heard so many patients say things like "my doctor said this was a simple procedure, but it's much worse than I thought." I think sometimes doctors think about how simple the surgery is to them and not necessarily to the patient. I wish they really knew the long term effects that patients have.

If you would like more information about Natural Family Planning options, I can give you some resources to research it on your own. My husband and I have used NFP for over 15 years and I'm so grateful for it. It's been wonderful for our marriage and I feel such a freedom to not be a slave to artifical birth control. I know exactly what's going on in my monthly cycle! It's a powerful feeling! I also feel that I know my own body better than my physician - a feeling most women don't have.

I hope you don't take this as preachy or anything like that. I really just wanted to give you another option to think about. I've had many couples tell me how grateful they are after they use NFP and understand how their own bodies are working.

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S.W.

answers from Iowa City on

I had a tubal ligation done in conjunction with my second c-section. I have had no problems at all with side effects. Sometimes I forget that I even had it done. I was diagnosed with PCOS at age 18 and have not had periods since then. However, after my second pregnancy and tubal ligation, I have had a couple of periods pop up out of nowhere. They are not painful at all and only last about 4 days. It's a hard decision, but you have to do what is best for you and what makes you comfortable. Good luck with your decision!

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A.S.

answers from Denver on

I had a tubal done as well and mine periods are lighter. My periods use to come with a one to two day warning, now they're so mild I can barely tell they're there.

The procedure itself was so fast I didn't notice it was being done.

I wouldn't change my decision at all and am very, very happy that I did it. maybe ask your Dr about people that experience problems? And if it's more due to pregnancy vs tubals. GL!!

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