Sterilization is a permanent method of contraception for women planning not be pregnant in the future. Laparoscopic technique is a minimally-invasive procedure and in recent years laparoscopic sterilization has gained popularity owing to its advantages over the traditional approach. Laparoscopic sterilization is a technique where the fallopian tubes, the pathway for sperms to reach eggs for fertilization, are removed. Studies have shown that removing the fallopian tubes rather than blocking or closing them may lower future risks for cancer.

During the surgical procedure, you will have general anesthesia administered so that your muscles remain relaxed and no pain is felt. A device that helps move the uterus is slowly inserted into the vagina. Then, a small incision is made near the belly button through which a laparoscope is passed. The abdomen is inflated so that the surgeon gets an improved view of the internal organs.

Additional tiny incisions may be made to facilitate additional instruments to safely separate and remove the fallopian tubes.

You may return home after the observation period, once you have recovered. A follow-up visit will be scheduled within the next 2 to 8 weeks. Vaginal bleeding which may continue for up to 1 month after the surgery is considered normal.

Sterilization can cause permanent loss of fertility. Hence, a well-informed, careful decision should be taken bearing in mind the other alternatives, before you decide to undergo laparoscopic sterilization. It offers a very safe and convenient form of contraception that requires no additional measures to prevent pregnancy. It also does not affect the menstrual cycle. Laparoscopic procedure is more advantageous than the traditional procedure. The smaller incisions require a shorter recovery period and the risk of complications are minimal.

  • ACOG
  • AIUM
  • American Association of Gynecologic Laparoscopists
  • NYU langone Medical center
  • American Association for Accreditation of Ambulatory Surgery Facilities
  • UpToDate