Tubes tied during c-section or vasectomy?

[Decisionstomake1]

I guess I am posting for traffic! But maybe also AIBU to think tubes tied during c-section would be a good option? Has anyone had it done?

Currently pregnant and will be having a planned section same as my previous pregnancy (high risk - baby will need to come early).

I was going to ask about getting my tubes tied during the procedure. My thinking being if most of the risk of tubes tied is the operation itself and I’m already being cut open maybe it’s a good idea! or is there a lot of risk outside of this / was the recovery very bad?

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

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.

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.

@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 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)

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!

@HelterSkelter224 wow two surprises! Yes it’s one of those things that seem to happen a lot in ivf. I really don’t want a surprise down the road. I’m fed up of medical interventions.

agree with you re worries of all the ivf meds. That’s also why I was thinking tubes tied as it reduces risk of ovarian cancer and I think I read you’re higher risk of that after ivf.

The joys!

@anicecuppateaa so sorry for you loss

thanks everyone. Lots to think about here. I appreciate all the responses

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.

Thanks for the info @MoveToParis I’m surprised to see other ivf’ers considering it. I thought everyone would think I was crazy! Especially as the chance is so low of a natural conception anyway!

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

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.

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.

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.

@yipyipyop I haven’t been asked yet - was planning to bring it up at my next appointment so just wanted to gather some real life information from the wise women on mumsnet! So I don’t know if it’s standard. I’ll be 39!

really appreciate everyone’s responses!

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!

@Mamma37868 yes it’s a bit of a mixed bag but it seems overall people don’t regret it. I also think getting pregnant again wouldn’t be a good idea for me hence looking into permanent forms of contraception! It’s between what you want ideally and what is sensible!

it’s really good to get others views. It’s a big decision to make.

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

@PixieTrance89 did you find c-section recovery much different afterwards? As in harder/longer? Congrats on your new arrival!

I guess it would also be good to get views from those who had their tubes done outside C-section to find out the recovery time, complications etc, and whether it's worth waiting a year or two. (I'm not sure how best to time it with a little baby.)

@Mamma37868 agreed in general but for me I wouldn’t be undergoing another operation. If it’s not during c-section then it’s my DH turn as far as I’m concerned so it’d be vasectomy for him.

Would you DH have a vasectomy?

How does your husband feel about a vasectomy OP? Mine is surprisingly happy to go ahead, but we have a few friends who have done it and it seems that it's not too painful or disruptive.

I'm keen to see how he behaves after this relatively minor procedure compared to be recovering from c-section 😂🙄

@HelterSkelter224 my DH is more than happy to get a vasectomy. But it is another procedure, another recovery time and I started to like the idea of having it done same time as c-section then just being done.if you read my other posts you’ll see re IVF and everything we’ve been through I just want some normality!

@Decisionstomake1 I had tubal ligation at my last c section. I was 40. Best decision ever. No extra complications or recovery. It’s exactly like the first section. You will feel/know no difference. Not needing hormones was just the best feeling. Had done combined pill, mini pill, mirena coil. This is the best by far. Do it!

I've only broached the idea of a vasectomy with him once and he wasn't too sure - I think he would have liked a 3rd baby but realises it's not the best idea financially and because of SEN with our first. He might need time to get used to the idea, but the clock is ticking towards my planned section!

Just wanted to update that our obstetrician has said tubal ligation is not funded on the NHS! I presume this is just in our county?

Whereas vasectomies are funded.

The unfairness of it all is so annoying.