Tips for Thought

The Pros and Cons of Tubal Ligation and Vasectomy

Modern technology offers several birth control methods. Sterilization procedures are readily available in many hospitals for people looking for a more permanent solution. Before you decide if this method is for you, consider the pros and cons of tubal ligation and the pros and cons of a vasectomy.

Tubal Ligation

What is a Tubal Ligation?

Tubal ligation is a sterilization procedure offered to women. This process involves cutting, tying, or blocking the fallopian tubes. The latter carries the woman’s eggs from the ovaries to the uterus.

What are the Pros of Tubal Ligation?

Some of the pros of tubal ligation include the following:

  • Tubal ligation reduces the risk of ovarian cancer. Some epidemiologic evidence strongly supports tubal ligation reducing ovarian cancer risks by at least 26–30%. While more research is still needed to make this claim, this procedure can reduce your chances of developing ovarian cancer.
  • It’s an outpatient procedure. Tubal ligation doesn’t need an overnight hospital stay. The procedure also has a rapid recovery rate and takes effect immediately.
  • It does not affect a woman’s sex drive. Tubal ligation offers a permanent solution for women who want to enjoy sex without risking pregnancy. Aging women may even find it more pleasurable.

What are the Cons of Tubal Ligation?

  • Tubal ligation has more complications than a vasectomy. This procedure requires general or spinal anesthesia, and surgery usually occurs in the abdomen, exposing more risks to infection.
  • Tubal ligation is challenging to reverse. Individuals who do not want children will find this procedure the most effective and permanent choice. However, reversing the procedure is difficult, expensive, and not a guarantee that you’ll be able to conceive if you change your mind.
  • There is a risk of failure. When not done correctly, a tubal ligation procedure will not prevent pregnancy. Instead, it will lead to ectopic pregnancy, a life-threatening condition. You might need immediate medical attention if you tested positive on a pregnancy test after under tubal ligation.


What is a Vasectomy?

A vasectomy is a popular sterilization procedure offered to men. During this procedure, doctors severe or seal the vas deferens tube so sperm cannot enter the semen. Since semen is no longer in the fluid, the risk of pregnancy is low.

What are the Pros of Vasectomy?

  • It offers a permanent solution. Men who do not wish to start a family can undergo this procedure.
  • It has low risks of complications. Compared to tubal ligations, a vasectomy has lower risks of complications because it is less invasive. Doctors use local anesthesia and can carry out the procedure as quickly as half an hour.
  • The procedure has quick recovery rates. Vasectomies are minor procedures with rapid recovery rates. You can return to your normal routine as quickly as five days if you’re physically active.
  • Better sexual experience. Many men have better sexual experiences after a vasectomy because they no longer use condoms with their long-term partners. Additionally, vasectomies should not affect your sex drive, orgasms, and ejaculations.
  • Reversible. A vasectomy has a higher chance of reversibility compared to tubal ligation.

What are the Cons of Vasectomy?

  • Expensive reversal procedure. While reversing a vasectomy is possible, it can be costly and even more expensive than the vasectomy itself.
  • It does not provide a solution against STIs. Vasectomies are effective in preventing pregnancy but not contracting STIs. As such, men who like to engage in casual sex should still use condoms to prevent transmission.
  • Sterility is not immediate. Sperm remains in the vas deferens tube for months, even after the procedure. It may take at least twenty or so ejaculations before said tubes are clear. The client may undergo a semen analysis to make sure they’re sterile, so unless the semen is clear, make sure to use other contraception forms first.

Takeaway: Sterilization requires careful thought and preparation. Before deciding on a sterilization procedure, consider weighing the pros and cons listed above. Additionally, it would help if you discussed honestly with your partner to see who is more willing to undergo treatment. If both of you hesitate about these options, consider other forms of contraception instead.