Tubal sterilization – The permanent birth control

There are many ways of contraception, but the most common way of contraception in Malaysia is to put a uterine ring or contraceptive ring for women, and ligation for men. Since  ligation includes vasectomy and tubal sterilization, both men and women can be ligated. So who should do the ligation? Will it affect sexual life if it is pierced? This is also a matter of male self-esteem and dignity.

Understand the process of male and female ligation

Male ligation is to cut off the vas deferens (sperm duct) from the testicles to the penis, so that sperm cannot enter the semen and be expelled from the body. Ligation does not mean that ejaculation is not possible, but there is no sperm in semen. 

After vasectomy, the testes will not be damaged. The convoluted seminiferous tubules and interstitial cells of the testes could continue to produce sperm and secrete sex hormones to maintain the normal sexual pleasure of men. 

The operation process is to find the vas deferens on both sides through scrotal skin, make a 0.5cm small incision, pick out the vas deferens and cut a small section, bind both ends, and sew the two wounds.

However, some men may feel that their sexual function will decline after ligation due to their psychological effects. The more concerned they are about it, the worse their performance will be.

Female ligation is a cut or blockage of the fallopian tube. In fact, female ligation can be performed in various ways:

• Postpartum ligation
• Laparoscopic ligation
• Mini laparotomy
• Vaginal tubal ligation

Postpartum ligation

A few days after delivery, as the uterus is still in a dilated state, all openings (2-3 cm) can be made under the umbilicus, and then the fallopian tube is ligated and cut off with a tool. If you are having a Cesarean section, you can receive tubal ligation at the same time.

Laparoscopic ligation

It is necessary to insert the laparoscope into the small incision under the umbilical cord, and make another small incision about 1 cm in the lower abdomen, and then clamp or ring to block the fallopian tube. The wound of this operation is small and the healing is fast.

Mini laparotomy

For small abdominal surgery, a 3-5 cm long incision will be made in the lower abdomen, and then both sides of the fallopian tubes will be ligated and cut off.

Vaginal tubal ligation

It is necessary to make a small incision in the vagina, and then ligate the fallopian tubes on both sides through the incision and remove a section. This operation will not leave any scars on the abdomen.

If you want to have children after ligation

If women still want to have children, they can go to the hospital for tubal recanalization surgery, and for men, they can do vas deferens recanalization surgery. However, with the increase of time and age, the longer the ligation, the lower the probability of successful pregnancy.

No matter who should be ligated in the end, both parties need to think carefully and discuss together before making a final decision.