Female sterilisation 

Introduction 

Types of contraception

Expert advice for teenage girls about what types of contraception are available and where they can find the right kind to suit them.

What are the alternatives?

  • Vasectomy: this method of sterilisation for men is simpler, less invasive and has a better chance of a successful reversal if you change your mind in the future.
  • Long-acting reversible methods of contraception, such as contraceptive implants and injections or the intrauterine device (IUD): these may be suitable if you do not want to get pregnant in the next few years, but may want to eventually.

Female sterilisation is an effective form of contraception that permanently prevents a woman from being able to get pregnant.

The operation usually involves cutting or blocking the fallopian tubes, which carry eggs from the ovaries to the womb. This prevents the eggs from reaching the sperm and becoming fertilised. It can be a fairly minor operation, with many women returning home the same day.

In most cases, female sterilisation is more than 99% effective, and only one in 200 women will become pregnant after the operation.

Who is female sterilisation for?

Almost any woman can be sterilised. However, sterilisation should only be considered by women who do not want any more children, or do not want children at all. Once you are sterilised, it is very difficult to reverse the process (see Female sterilisation - risks), so it is important to consider the other options available (see box, left). Sterilisation reversal is not usually available on the NHS.

Surgeons are more willing to perform sterilisation when women are over 30 years old and have had children, although some younger women who have never had a baby choose it.

How common is female sterilisation?

Every year, thousands of UK couples choose sterilisation as their method of contraception. It has become increasingly popular since the late 1960s. In 2009-2010, more than 10,000 female sterilisation operations were carried out in hospitals in England.

Types of female sterilisation

There are two main types of female sterilisation: 

  • when your fallopian tubes are blocked, for example with clips or rings (tubal occlusion)  
  • when implants are used to block your fallopian tubes (hysteroscopic sterilisation)

See Female sterilisation - how it is performed for more information about these two procedures.

  • show glossary terms
Fallopian tubes
The tubes connecting the ovaries to the womb.
Ovaries
The pair of reproductive organs that produce eggs and sex hormones in females.
Womb
The womb (or uterus) is a hollow, pear-shaped organ in a woman where a baby grows during pregnancy.

Last reviewed: 25/02/2011

Next review due: 25/02/2013

Comments are personal views. Any information they give has not been checked and may not be accurate.

chartw21 said on 17 May 2012

Hi i am 21 years old and was thinking of not having kids fae a was 16 and now am trying to do something about it but i dont know if i am making the right decision or not but doc sed ave to start going to councelling sessions first to see about it if it is the correct decision as me n my new partner have talked about it and have decided we r happy the way we are just our 2 selves. So need a bit of help either is it ok to get it reversed or does it muck up wen u want it reversed? I have read all about it but i still dont understand and have read all your comments and i am a bit worried now :( please help by giving me advice :( x

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jtat34 said on 02 May 2012

i was sterilised about 7 weeks ago, i have been having huge hormonal changes ever since! im currently keeping a diary over next few months, if it doesnt settle down, i want a reversal, the surgeon told me hormone imbalance as a result of surgery wasnt possibly! another doc says its normal after an operationg and it will settle down.
it seems there has not been enough study done into possible hormone changes after this type of op, so i would look up all you can on this subject and hormone imbalances caused by tubal ligation before having it done

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woolie2511 said on 26 March 2012

Hello, I am 30 years old and I very much want to be steralised or anything to prevent me from having my periods as I have tried so many pills and im finding none work, I get very heavy and very painful periods-to the point that the pain brings me to my knees and my hormones are just crazy im getting very short tempered, frustrated, stressed and am losing my sex drive all due to my periods. Ive had enough and want my womb away or anything to stop these permanantly. I have a 11 year old daughter soon to be 12 so I dont want to jump into nappies and screaming and milky sick again and im very happy to have just one child plus im not the most maternal of people. My husband of 10years is 50 and had a vasectomy about 20 years ago so there is no way of getting pregnant or wanting any. Can a doctor deny me of this proceadure? and will it help with my periods and hormones? but will it affect my sex drive nagativly? how do i go about this?
Thank you

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mandythemoo said on 11 March 2012

I am 36 years old with 2 children and have discussed the options with my husband and decided on a sterilisation for myself rather than my husband, I have been told by the familiy planning nurse at my doctors that I am not "allowed" to be sterilised as it is "too evasive" and "too costly for the NHS"! Yet if my husband were to be sterilised it will cost us over £200. Why, after being a good citizen and paying into the NHS since (both of us) were 16 are we not entitled to have the procedure? Surely it would be more cost effective to let me be sterilised than keep paying for contraception for me for the next 15-20 years. Another example of the NHS' postcode lottery.

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naylors said on 12 February 2012

I was 18 wen I had my first child (whilst on the pill), but prior to this I had been in care so was basically just looking for someone to love me and want me. The relationship was good at first, as all usually are but my second pregnancy revealed cracks and adultery. I left that relationship aged 21 wen my son was a year old. Feeling depressed upset alone and in a new town where I knew no one again fell into a relationship and fell pregnant almost straight away (whilst on the pill again) this relationship became very abusive gradually and sex became a way of not being hit. The police did not want to help me and my young family sayin they don't deal with domestic situations as majority of women retract their statements... Subsequently I had my fourth child, all my children were born via a c section, back in 2001 as my fourth pregnancy was coming to an end my drs told me I would be having a sterilization procedure fone as having four 4 c sections were the most they would medically allow for safety reasons for both myself and the baby. Listening to that thinking of my four children already here and needing me and also still being subjected to the abuse still feeling depressed in myself with no one to really talk to agreed. I didn't regret my decision right away it was four or five years later as I realised that I could never have another child and wat if I were to find 'the one' I reconciled with myself and lied to myself saying it'll be ok it'll never happen anyways but I met 'the one' in '09 and since then have been cut up so much about it its unreal, the guilt, the sadness, the heartache of it. We are now married and he loves my four children and they love him our three girls call him daddy which he loves, he adores me and is so understanding and patient but I always feel I have taken something special from his life he tells me I'm silly and we will have a baby it will just take time and money, which we dont have really. I was 24 wen I was sterilized far too young

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Eloko said on 10 February 2012

I had to wait until I was 29 before I was 'allowed' to be sterlized. The delay resulted in a pregenancy which I aborted. Why could a doctor override my decision to be sterlised and force me to wait a few years. I was very clear I was ready to be sterlised and have not regretted it.

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tattyteddy167 said on 02 February 2012

At the age of 23 i was sterilized, for all the wrong reasons, and even the consultent that performed the sterilization knew why as i told them. I was a victim of domestic Abuse and was forced into having children at a young age by a man who is older enough to be my father. i had no family around, and no services were intreasted in heping me escape. i knew the only reason this man wanted me was to provide him with his children and knew if i could not have them he would leave so i escaped his flat and went and got sterlized. now at the age of 30 i so regret the reason i felt i had to do this as it took away my whole aspect of who i am as a woman. yes he left when he found out he see's our 2 children but i am left unable to feel like a woman anymore and have been in relationships the most upto date we were together for 5 yrs and he departed because i could no longer have children, he did not have children. under neath i regreated it the very minute i came out of the thearter and knew that very moment i was going to spend the rest of my life wondering what it would be like to have made the choices every woman makes for her own reason's not the ones i had to make to protect myself and any future children that could have been raised had this not happened. I am angry that the NHS because they allowed me to have this done as at the time i was also dignoised with having postnatal depression, i have been fighting to have this reversed on the grounds that i was not of sound mind when i made this decision and that i was far too young to have made such a choice, i believe that it should remain that indiviguals over 30 or people who have 4 or more children only be elligable for such a choice to be accepted for. some of you may not regret this at the moment but think about how it would feel in 10 years time especally the younger ones still in earily 20's just what choices these are ang that its not simple to change and if it is done there is no grantee it will work. so think wize

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big bess said on 21 November 2011

i was sterilized at the age of 24 now i really regret the decsion i have 4 kids 2 girls and 2 boys but i am now with a new partner and have been for 5 happy years and we both would love to have a baby i think it is wrong that you cannot have it reversed on the nhs but they are quick to do it for you and its far to expensive to go private. it is the biggest regret of my life wish i could turn back time

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KellyS7 said on 17 November 2011

Im 24 and have had 3 miscarriages from feb 2010-july2011 the last pregnancy was twins and its devastated me.
I am currently having all the blood test swabs ultrasounds and so far everything is fine apart from my ovaries looking Polycystic.
i am wanting to be sterilized becasue i am so scared of being pregnant again id rather not have sex
i know im young but i already have a healthy 3 year old boy and i don't want this to take over anymore of my life.

My main worry is i'll regret it later on

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rachnkids said on 14 October 2011

i am 27 i have just been sterilised after having 2 healthy children and having 1 misscarage i knew i could not go threw it again i know i am only young but i think it is the right choice for me ...

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bentaylor1 said on 23 August 2011

i was sterilised nearly 5yrs ago on my second child after a c section.i now regret what i have done and cry myself to sleep most nights, im also thinking of having it reversed its going to cost alot of money. but im trying to save up so i can have the procedure done.anyone thinkin of being sterilised think long and hard about havin it done.but if you are sure u dont want anymore children then go ahead and have it done.

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hi danby said on 12 August 2011

As i had been through 5 C sections i decided to have a sterilization (in 2002). This April 2011 having had a back and hip xray it was noted that one of my clips had come off. No idea when this could have happened. I had never been told that this was a possibility when discussing my sterilization back in 2002. i had had the sterilization done as i was under the impression that it was permanent form of contraception, i now find myself in the position of having to find another form of contraception, Just wish this had been disscussed and there was some way of monitoring the clips so as not to risk a pregnancy.

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Melodeee said on 26 June 2011

Why are the newer sterlisation methods not provided as alterntaives. The NHS choices website should list all medically suitable alternatives even if they are not provided for by the NHS. This would allow patients real choice.

I opted for Essure permanent contraception, This simple procedure performed at my Doctors surgery and without any cutting or hormones. I had light cramping, like a period, for a day or so afterwards. The micro inerts were simply added through my cervix. It took a little longer than a smear but was no more uncomfortable than a smear test.

The NHS choices website seems reluctant to highlight non-NHS services and is therefore not a great source for up to date medical information and treatment options.

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nora boyd said on 07 April 2011

Iwas sterilized at the age of 26 after a pregnancy which resulted in a miscarriage. I am now 41 and awaiting an appointment with the consultant to discuss a reversal. Considering my age do you think this will be possible on the NHS and if so what is the success rate

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beverage said on 22 February 2011

I had a consultation recently to go ahead with sterilisation,which was very brief.
Questions were asked as to last period,smear test etc...all as expected,then onto the nitty gritty about the procedure and possible risks..again,all plain and simple.
Following this brief consultation,I was lead away to have 'swabs' taken by a nurse...I was not told what these swabs were for,but trusted they must be relevant...
Anyway,before the nurse could procede,in walked the consultant to suggest to me,that he could do my overdue smear test while he was doing the operation,to which I declined stating I prefered to get my practices nurse to perform such procedures.
His reply was that he may as well do it,save time as he would already be in that area {my intimate region},as he had to insert an instrument into the cervix to maneuver my womb!!!!
when I asked why he failed to mention this piece of information during the 'full information' consultation,he seemed dumbfounded,as did the nurse as to why this was a problem,stating that he never needed to give patients that info.
I left having cancelled the op appointment,feeling angry that what I feel is relevant information about what is going to be done to my body,not being deemed necessary to give me,and also being made to feel like I was being foolish,prudish and unreasonable by the health professionals I was trusting to give me peace of mind.
Had I recieved all of the information prior to making a final decision,I may have been prepared to let go of my usual disinclination to let a male practitioner handle my intimate area,but I now feel let down by the attitude I received about my personal dignity,and distrustful about what information is deemed necessary to give to a patient at their most vulnerable.

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User530806 said on 20 February 2011

At the age of 36, and knowing we did not want any more children we decided on permanent sterlisation. After learning of both vasectomy and tubal ligation we decided the safest option for us was to have me permanently sterilised. The operation was simple and my recovery was faster than I was told it would be. I have had no regrets and I know my partner is happy with our decision. He was very supportive. I felt no remorse of ending my fertility earlier than nature would have intended.

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