Tubes tied during c-section or vasectomy?

The benefits of tube removal (which is what they’ll suggest over just segmenting and ‘tying’ is that it vastly reduces the risk of a secicifc cancer (might be cervical) as it firstly develops in the tubes. So no tubes = no cancer.

this was my first choice too when I had my second baby. They agreed and said I could have it done if I needed another c-section (which I did)

I actually ended up being so fed up of no progressing and just wanting to be in, out and done that me and DH decided we wouldn’t bother having to sign extra forms and having chats ect before the operation and we ended up booking him for a vasectomy instead.

To be honest. I regret it. I wish I’d done it the vasectomy is obviously fine as an alternative but I just think.. I was already being cut open. They were goth there and it wouldn’t have taken much longer to remove my tubes. I was just being impatient.

So, if your definite you don’t want anymore kids, and you’re already having a section it’s definitely only going to benefit you to have your tubes removed

I wish I’d done it!

They didn’t mention it until 36 hours before the caesarean and I hadn’t realised it was a possibility. 36h didn’t feel long enough to make a considered decision so I didn’t go with it. I’ve kicked myself ever since.

It’s obviously your choice but I think vasectomy is the safest option all around. I’ve known people who had their tubes cut that have had all sorts of complications. Of course you could be absolutely fine, but why risk complications and maybe further surgery one day when vasectomies are much easier and contraception should not fall solely to you anyway. I think you’ve more than done your bit. Let DH do his.

I had my tubes tided during my second c section, it added an extra 10 minutes onto the op. To be honest I wouldn't have known I had it done, as recovery from c section is painful anyway. It's been 6 years now and no regrets. They sent my tubes off to the labs to make sure they removed them correctly, due to the fact that everything is swollen ect from the pregnancy, it makes it a little bit more complicated.

The Mirena can be inserted during the Caesarean. It is much easier to remove than insert, taking about 15 seconds, and can be done by most GPs (unlike inserting coils).

Personally I wouldn't tie my tubes. I know someone who had their tubes tied, somehow sperm got through but egg couldn't get out resulting in an ectopic pregnancy behind the tie. Nearly killed her, and she never really got over losing the baby that she could have had had it been able to implant properly. Maybe it would have always been ectopic but still blamed herself.

Maybe they've changed the procedure to avoid outcomes like that. I don't know. But I'd not take the increased ectopic pregnancy risk.

I’d go with having the tubes tied during section, because it will solve the problem once and for all. If your current relationship should end and you meet someone else you’ll be in the same situation as before.

I did at 35, during cs#3. Cut and cauterised, so no clips or foreign body in me. Best decision ever. Ten years on, no sign of menopause yet either.
My consultant was fine with the idea but the registrar who performed the cs was sniffy about it - although soon changed her tune when I had a complicated cs, a lot of blood and she had to bring him in. I imagine I probably have a scarred uterus that resembles crepe paper. She did admit that it was probably best that I didn’t have another after all.
There’s no way I’d persuade DH to have a vastectomy and I know his brother experienced a lot of pain and issues afterwards.

I tried to word it kindly.

Babies are not pot plants, but many women wish to fill empty arms, and not even having the chance to try again is something that needs to be considered. Sadly I know too well, and the majority of people that I've met in my situation have wanted to try again.

Although from reading further it isn't actually relevant to OP as she would need IVF.

Both.

Suggest he goes now for vasectomy, he will be recovered by time baby comes to support your recovery and no more children. Share the risk. He's happy to let you have risky surgeries he should be insisting he also shares the responsibility of not having more children.

Not me but two of my friends had it done during a c-section with their 4th (both have 4 children). Apparently they were told that there is a slightly higher chance of it failing if done during a c-section (your body is very different when heavily pregnant I guess - perhaps things "move around" for want of a better word post partum, which might potentially cause the clip to move or if stuff shrinks after I don't know I'm guessing). Recovery was the same though they said and in both cases it was fine 9 & 6 years (depending on friend) on no more pregnancies. Personally I'd go for both i.e. husband too but that is of course up to you. I'd ask your midwife or consultant about it. Congratulations on your baby!

I considered this and discussed it at the hospital during my third and last pregnancy, but in the end decided not to go ahead and my partner had the snip instead. I was advised there was no increased risk of infection, but there could be more pain and bleeding...and I just felt I would be going through enough already with recovering from a c-section plus a new baby to look after. Also I much preferred the odds of getting pregnant again after a vasectomy...1 in 2000 apparently, but 1 in 200 after tubal ligation. Good luck whatever you decide!

Risk of pregnancy from tubal ligation at Caesarean 1:150, Mirena at LSCS 1:800, vasectomy 1:2000.
Personally I would go Mirena - you can easily change your mind if circumstances change, reduces risk of (very common) endometrial cancer, can be used for HRT in the future, 90% of people will have no periods and you can check whether it’s there yourself.
Also be aware that funding can be difficult to get for ligation.

I had mine clipped 10 years ago and it was one of the best decisions I’ve ever made coming of the reproductive treadmill, the fears of miscarriage, the hormonal rollercoaster.

There is NO connection with perimenopause. For a pp this is a coincidence.

I did aged 31 during second section, 3rd child. DH would have had a vasectomy but this seemed simplest.

My pain was worse than previous section, but I was relying on paracetamol as they prescribed me Oxycodone which knocked me out. (In US.)

No regrets. I had a hysterectomy 3 years later too.

They mean that if your baby died in the first year you might want to conceive again. Like a child is a pot plant you can just pop out and replace. It’s an incredibly insensitive thing to say and yet somehow it’s still regularly trotted out.

Yes it can reduce the risk of some forms of ovarian cancer but guidance is tubal ligation should not be used just for cancer risk .

www.cancer.org/cancer/types/ovarian-cancer/causes-risks-prevention/prevention.html?_gl=1v04cfj_gaYW1wLURFSnNhdWh2eGZlb2pTWm1PbTd4QXc._ga_12CJLLFFQTMTcyOTU5MjIzMS4xLjEuMTcyOTU5MjIzMS4wLjAuMA.._ga_6LQQS9SG7KMTcyOTU5MjIzMS4xLjEuMTcyOTU5MjIzMS4wLjAuMA.._ga_CYE4LBPKXN*MTcyOTU5MjIzMS4xLjEuMTcyOTU5MjIzMS4wLjAuMA..

I had it done. Similar circumstances. First born was an emergency c section of an IVF baby. Second born was a planned c section of a surprise baby and I had my tubes tied. I have bloody hideous pregnancies and at 40 knew I wouldn’t go for a third. If I’d asked I suspect DH would have had the snip but as I was already having surgery the risks didn’t seem substantially higher for me to just have it done.

No idea where the “happy birthday” came from and can’t seem to remove it!!

@Decisionstomake1 - I had an emergency section with DC1 then a planned section with DC2 during which I got my tubes clipped. I was late 30s and knew I didn’t want any more. I’d tried lots of contraction options including the coil which made me feel awful so I decided to just get it all done at the same time. DH would have had a vasectomy but I just felt on balance it was easier for me to just get “done”.

It made no difference to my recovery and it was great to know I was safe from an unwanted pregnancy.

There doesn’t appear to be any link with early menopause as your fallopian tubes don’t produce hormones so I think this happening is more likely a coincidence.

https://pmc.ncbi.nlm.nih.gov/articles/PMC8543885/#:~:text=3%2C%20respectively).-,There%20was%20no%20significant%20difference%20in%20the%20age%20of%20natural,)%2050.7%20(3.7)%20vs.

tubes tied has slightly bigger risks but vasectomy still has some risks. To be really honest I’d just consider birth control but just putting it out there really if you’ve decided you want to go one way or the other! Best of luck!