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What is Female Sterilisation
The Fallopian tubes allow eggs to travel from the ovaries to the womb where they can be fertilised. Sterilisation is done by blocking the Fallopian tubes by putting a special metal clip across each one, or by taking out a short length of each one and closing off the ends with a stitch. The ovaries and womb still work normally so that the periods come just as before. The eggs, the size of a pinhead, will die in the pelvis after a few days and are cleared away by special cells. Sterilisation is the most reliable form of contraception for women. There is a very small chance of a pregnancy in the tube between the clip and its ovary end. The special clip that the Surgeon uses is the best one to stop this happening. It is very difficult, expensive and unreliable to try to join the clipped ends of the tubes up again. DO NOT MAKE A HASTY DECISION ABOUT STERILISATION. You will be sterile as soon as the operation is done.The Operation
You will have a general anaesthetic and be completely asleep. The keyhole method is the most common. A small cut is made in the skin just below your tummy button. A narrow telescope called a laparoscope is passed through the tummy wall, and your tummy is inflated with some carbon dioxide gas. The two clips are put on the Fallopian tubes using a fine instrument, which is passed in the tummy through a second keyhole, which is close to the one used for the telescope. Finally, a stitch may be put into each skin wound. It usually takes about 15 minutes. It is dangerous to use the keyhole method if there are many scars inside from other operations. Also the laparoscopy is not safe if you have been pregnant very recently. If this is the case, a small cut is made in the lower part of your tummy. The Fallopian tubes are blocked by taking out a short length of each one and closing off the ends with a stitch. The operation can usually be done as a day case.
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