Will they just remove my tubes or my ovaries?

[cjt110]

I have asked to be sterilised and my GP has referred me. Great stuff. One box ticked.

I've been doing to reading. I'm on the depo jab and there is a 1 in 2,000 chance of getting pregnant. The chance falling pregnant with tied tubes is also 1 in 2,000.

So... do I go and see gynae? Or is it pointless?

It only seems "worth" it if my ovaries are removed. Otherwise why have an op to do what the jab does?

So... will they take my ovaries or only tie my tubes?

They will not take your ovaries. You still need them.

They will not remove your ovaries OR your tubes unless there is a medical reason for doing so. They will clip or cut and tie/cauterise your tubes.

With the depo shot you are still subjecting your body to hormones. There's none of that when you get sterilized.

For what purpose? I don't want to reproduce again. So surely just for monthlies which I don't have. And hormones I can take supplements/medications for?

I'm already on some medication for life. Why not add another?

They will not take your ovaries. You still need them.

This.

Advantages of sterilisation are:-

Don’t have to have hormones in your body
No more hassle of going to get jab
No chance of forgetting to get jab

If they take your ovaries then you'll go through the menopause. Would you prefer that?

It would be my worst nightmare to fall pregnant again. Because of my mental health.

Sudden menopause is pretty awful even with medication.

Michelle Heaton wrote a book about it. (She is a carrier of the BRCA gene.)

If they removed your ovaries, you would immediately go into menopause, and I assure you, you don't want that for dozens of reasons. Heart problems and bone deterioration are just two.

They won’t take your ovaries because even after the menopause they still produce small amounts of hormones. Oophorectomies are only performed to save a life/better quality of life etc. Not just for pregnancy prevention.

They are not going to remove your ovaries or Fallopian tubes for purposes of contraception, sorry, and definitely not your ovaries. The advantage of sterilisation is no hormones.

@gamerchick If it meant no chance of pregnancy yes.

I already have no periods. Raging hot flushes.

Genuinely. Not being fascicious. My worst nightmare would be another pregnancy.

My son is my world but not again.

OK. So a pointless exercise to undergo surgery for the same outlook.

Thanks all.

One thing to consider is that not having to take the depo shot might help your mental health issues. Some women have very adverse reactions to hormonal contraception.

If you’re already menopausal (is that what you’re saying) then the likelihood of pregnancy in Peru-menopause with your tubes tied is absolutely minimal.

Sorry but there's no way they will take your ovaries. Their responsibility as doctors is to minimise harm and act only in such a way that the benefits outweigh the harm. To remove your ovaries and throw you into menopause will have long term negative implications for your health, big ones you cannot simply negate with artificial hormones. They will not do that.

Mirena is more reliable than female sterilisation so you could consider that. Or a vasectomy for your partner.

Peri-menopause sorry!

They will leave the ovaries because taking them involves other health risks.
They will only take them if there is a medical need.
Could you ask your partner if he would consider a vasectomy? It's less invasive for starters.

Pointless if you are happy on depo and aren’t worried about long term risks of the depo

Have you considered a mirena coil? I know they're unpopular on MN but same at preventing pregnancy as being sterilised, much lower systemic hormones because it works where its needed and much lighter or no periods. I've just had my 3rd one.

I think I'll probably stick with the depo.

Thank you all

Hormonal treatments can have adverse effects on mental health. The side effects of the depo injection can include depression / mood changes and hot flushes. If you come off it you might find your mental health actually improves and your hot flushes go away in which case if you are sure you don’t want more kids then sterilisation is probably your better option.

Drop sent me
Totally nuts.

I’d also hate to have another child. I can’t cope with the hormone rises and falls.

Hmm maybe. The comments about MH improving without the depo does interest me.

I do wonder if my MH issues hark back to when the depo started.

I'm assuming tube tying is a keyhole day surgery?

The chance of pregnancy after sterilisation in 1:200 not 2000.