Tubes tied during c-section or vasectomy?

I had it done during my c-section 3 months ago she is my 4th child and I am more than finished having children, no regrets at all and as I was already having surgery anyway I thought I might aswell so it now takes pressure off having to use contraception

I'm over 40 and pregnant with a planned C-section. My obstetrician mentioned inserting a coil during the C-section as a contraceptive but didn't mention getting my tubes done. I didn't know it was an option until recently and I'm thinking about it. Even if I wanted another child I think getting pregnant again would be unwise for me.

I am both reassured and a bit worried about some of the comments here - more pain, longer recovery times, heavier periods - a C-section seems like recovery enough!

I wish I had done this OP. My CS wasn't planned, so didn't have a chance to speak to the Dr's much before hand despite me thinking about it well before my baby was born.

I was offered this on my second c section a couple of weeks ago. I declined but do they ask as standard or is it due to age? I'm also 40.

It was for me. They never told me that would happen but when I went for a womb scan they said it was likely the cause. More painful too but personally for me it is worth it.

Where's the biology in that? Don't see any physical reason that this could be the case.

Yes, had Cs plus T/L done at the same time (also after IVF). I knew I was done, and have never regretted it for even a moment.

Bloody hell. I didn’t realise that was what was meant. How awful but thanks for explaining.

Hilariously I am (almost) one of those stats as dd was just over one when she died, so feel more offended than most would be by this!

I had my tubes tied during my third c section, it was my 4th baby.
Recovery was definitely more painful than just a standard c section.
But all the symptoms of permenopause, I seem to have them all!! When none of it was ever an issue for me, I asked my Dr and he did a tinkly laugh and said I was much too young.
But it's been almost three years and haven't had a scare (probably also because we don't have enough sex)

@Decisionstomake1 risky pregnancies here too so I completely understand you feeling done with it all. It's why we had eventually decided to stop trying for number2, grieved the decision etc., came to terms... then lo and behold... boom pregnant 😂

I'm in a similar place as you - considering tubes tied along with c-section. I'm 40 after a decade of IVF... and two surprise pregnancies! No successful IVF pregnancies. So surprise pregnancies are very much a risk despite being diagnosed as "infertile". This one was an absolute shocker and if I'm honest we were not happy about it for a long time given AND despite everything we've been through. Also worried about the peri-menopause thing - no medical evidence to back it up but I'm already worried about the long-term impact of the meds of 10 rounds of IVF I had on my body, I feel like I've messed with my body for long enough and it's someone else's turn now!

Leaning toward husband having a vasectomy but have been seriously looking at this as an option, if only to rule it out.

I got talked into it the day of my c section by the doctors (in hindsight I really wasn’t in a good place to make that decision I wasn’t even told the method turned out it was modified pomeroy technique so they cut my tubes removed some and cauterised) I then a few years later had it reversed to have more dc.

Tubal ligation can make your periods heavier worth considering with your history x

I lost my tubes during IVF so I didn’t need to make the decision, but I’d tend towards getting them removed during the section as you’ve got frozen embryos and would need IVF anyway.

Make sure they remove them (salpingectomy) - there is a really substantial decrease in ovarian cancer risk once removed.

An advantage of your DH getting the snip is that if you later split up (or you die), it reduces the risk of him starting a second family with a new partner, which would cause a financial disadvantage to your existing dc.

WTF??!

There is a higher risk of failure for sterilisations carried out during c-section than later after a birth, so I opted to have mine done after 2 years. DH got the snip in the meantime, so we are both covered.

An advantage of your DH getting the snip is that if you later split up (or you die), it reduces the risk of him starting a second family with a new partner, which would cause a financial disadvantage to your existing dc. But I also liked having the reassurance of having control over my own fertility, so I still went ahead with my own sterilisation.

"Sterilisation at the time of Caesarean Section may carry a higher chance of failure than sterilisation done at other times due to changes the uterus and fallopian tubes undergo during pregnancy."

https://www.nth.nhs.uk/resources/permanent-contraception-steralisation-during-caesarean-section/

When I had my last, at my maternity appointments the male obs just always assumed I'd have ligation. When I checked in, the very feisty female obs gave my dh hell, why was I having it done, why wasn't he having a vasectomy? Why wouldn't he make the sacrifice? And she was right. Hed never even considered it.

I asked about this before having a Csection with DS2. I was told they were very reluctant as women may feel that way whilst pregnant but then change their mind. DH and I knew we always only wanted 2, so I was a bit pissed off.

DH had a vasectomy just before DS2's first birthday

Recovery wise, c section with tubal ligation usually had a more painful recovery, but not excessively so in most cases.
Consider insertion of coil during section, I think it's usually the copper coil. They directly insert it into your uterus so no fiddling with your cervix required. And provides 10 years protection and easily reversible