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Post Tubal Ligation Syndrome – Full Guide For You

Post Tubal Ligation Syndrome

Post Tubal Ligation Syndrome (PTLS) is a term used to describe a variety of symptoms that can occur after a tubal ligation. Symptoms that women commonly report include increased menstrual bleeding and cramps, hot flashes, night sweats, irritability, and mood swings.

These are believed to be due to changes in hormone levels. One theory about what can cause these symptoms after tubal ligation has to do with a disruption in blood flow between the ovaries and the uterus, which affects the production of ovarian hormones.

What Is Tubal Ligation?

If you are a woman who does not want to have children (or does not want to have more children), you can opt for a tubal ligation. Colloquially, you could call it “tying off egg tubes”. During this Tubal Ligation procedure, a gynecologic surgeon cuts or blocks your fallopian tubes.

Post Tubal Ligation Syndrome
Post Tubal Ligation Syndrome

This prevents eggs in your ovaries from traveling through the fallopian tubes to your uterus. This means that sperm cannot reach your eggs and you cannot become pregnant.

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The Tubal Ligation procedure is safe and few women experience complications. Still, there is a risk that you could have a build-up of painful symptoms afterward. Some doctors call this post-tubal ligation syndrome (PTLS). But not all experts are convinced that post-tubal ligation syndrome or PTLS is real.

Understand The Confusion Surrounding Post Tubal Ligation Syndrome

According to the latest statistics from the Centers for Disease Control and Prevention, over 13% of women ages 15 to 44 have undergone tubal sterilization. It’s permanent, but not perfect. A very small percentage of women can become pregnant afterward. Experts say that regret is the most common side effect after an unwanted pregnancy.

“Once you change your mind, it’s difficult to reverse,” said Dr. John Harris, assistant professor in the Department of Obstetrics, Gynecology and Reproductive Sciences at the University of Pittsburgh School of Medicine, TODAY.

According to the American College of Obstetricians and Gynecologists, tubal sterilization involves removing or cutting the fallopian tubes and tying them with special thread, closing them with bands or clips, sealing them with an electric current, or blocking them with scar tissue formed by small implants. The aim of the operation is to prevent the sperm from reaching an egg.

Tubal ligation should not affect ovarian function or alter the amount of hormones a woman produces. Doctors admit, however, that the procedure hasn’t been researched much — or more specifically, what happens to women after tubal ligation.

Symptoms Of Post Tubal Ligation Syndrome

Signs of Post Tubal Ligation Syndrome (PTLS) can vary greatly from woman to woman. Some of the symptoms attributed to this condition are:

One of the major symptoms of Post Tubal Ligation Syndrome is Pain. Any of the following types of pain can be part of PTLS:

  • Pain in the pelvic area
  • Pain during or after sex
  • Lower back pain
  • Headache

Period Changes. Your period may be different than before the tubal ligation. Some changes may include:

  • Painful periods (cramps)
  • Stopped periods
  • Bleeding between periods

You may also have some symptoms that typically appear like PMS symptoms, such as:

  • Changes in appetite or food cravings
  • Bloating
  • Tender Breasts
  • Acne
  • Fatigue

You could also have the mood swings that usually accompany PMS. Maybe you have:

  • Mood swings
  • Depression
  • Fear
  • Crying Spells

Menopause-like symptoms. Before menopause, some women develop problems they didn’t expect, such as:

  • Hot flashes
  • Sleep disorders
  • Night sweats
  • Changes in how much you want to have sex
  • Brain fog (hard to concentrate)

Some women with post tubal ligation syndrome also have constipation or diarrhea.

Tubal Ligation
Tubal Ligation

Find Out The Causes Of Post Tubal Ligation Syndrome

There’s a lot about post tubal ligation syndrome that doctors don’t know. Because it affects women differently — and your symptoms can appear years after the Tubal Ligation procedure — experts haven’t found a clear cause for this condition.

A tubal ligation can damage the blood supply to your ovaries and nerves, and disrupt your hormone levels. These changes could explain some of the symptoms. However, some doctors believe the symptoms are a result of stopping birth control before tying off the fallopian tubes. This often leads to changes in your hormones and affects your period.

How Is The Post Tubal Ligation Syndrome Diagnosed?

No single test can confirm that you have post tubal ligation syndrome. Your doctor will first try to rule out other causes of your symptoms, such as endometriosis, uterine polyps (small growths in your womb), or cancer.

They will ask you questions and perform a physical exam. An imaging test, such as an ultrasound, might also help explain your pain.

Treatment For Post Tubal Ligation Syndrome

If your symptoms are mild, your doctor will focus on treating them and relieving your pain.

In severe cases, you may consider surgery to reverse your tubal ligation. Although tying off the fallopian tubes is a permanent form of birth control, various techniques can reverse it.

Natural Remedies for Post Tubal Ligation Syndrome

There are also less invasive ways to treat the symptoms. This includes using natural remedies and changing your diet. Make sure to consult your doctor before starting any of these natural remedies.

  • Dietary Changes – Ginger is one of the natural remedies for post tubal ligation syndrome Try to eat a high-fiber diet with fresh fruits and vegetables while staying hydrated. Also, make sure you’re getting enough omega-3 fatty acids and consider taking a multivitamin. Try to avoid processed foods or foods laced with chemicals. Organic food can be the best choice.
  • Mexican Wild Yam Progesterone Cream – This progesterone cream can help balance hormones and relieve many symptoms of post tubal ligation syndrome, such as vaginal dryness, hot flashes, or decreased libido.
  • Fenugreek – Fenugreek may increase milk production in breastfeeding mothers, improve blood flow to your reproductive organs, and increase libido.
  • Maca – Maca, a vegetable related to broccoli, may naturally increase your sex drive and help with follicle stimulation during ovulation. Beware of its stimulant properties, however.
  • Black Cohosh – Slightly sedative, this herb has antispasmodic and anti-inflammatory properties that may help relieve menstrual pain, vaginal pain, hot flashes, and other symptoms associated with menopause.
  • Ginseng – Ginseng may help with various symptoms of post tubal ligation syndrome. These include relaxing the uterus, relieving pain, calming heart palpitations, improving blood flow regulation, and helping with sleep problems.

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Natural Remedies for Post Tubal Ligation Syndrome
Natural Remedies for Post Tubal Ligation Syndrome

Tubal Ligation Side Effects

Many women can worry about side effects after tubal ligation. Generally, these are rare or have been shown to be related to problems other than surgery.

Unplanned And Ectopic Pregnancies

Pregnancy or tubal ligation failure is a possible unwanted side effect of the procedure. Women who have had their tubes tied are slightly more likely to have ectopic or ectopic pregnancies than other women.

The studies of the U.S. Centers for Disease Control and Prevention show that about 1 in 200 women will become pregnant after tying off the tubes.

Of these, fewer than seven in 1,000 pregnancies are ectopic, but that number is still higher than the rate of ectopic pregnancies in non-sterilized women.

Research conducted by the U.S. over a period of eight to 14 years Collaborative Review of Sterilization, published in 2015, showed that only 143 of the 10,685 (1.33%) women studied became pregnant. Women who were under 30 at the time of the procedure had a higher failure rate.

Post Tubal Ligation Syndrome (PTLS)

Post tubal ligation syndrome (PTLS) is a group of reported symptoms including heavy or absent menstrual bleeding, hormonal problems, or problems that may resemble menopause. Its existence remains controversial among doctors and researchers.

Women reporting Post Tubal Ligation Syndrome list side effects such as hot flashes, heavy periods, mood swings, anxiety, depression, trouble sleeping, fatigue, mental “fog” or confusion, and vaginal dryness, among others.

Some doctors believe a loss of blood flow to the severed fallopian tubes is to blame, while others suspect women who took birth control pills before surgery may be more likely to have post tubal ligation syndrome. They are more likely to experience symptoms from stopping birth control than from the outcome of the surgical procedure.

dr Stephen L. Corson, a professor at Thomas Jefferson University and the Women’s Institute in Philadelphia, conducted a study comparing hormone levels in women with tubal ligations versus those who had not had surgery.

He found no significant differences in the groups’ hormone levels, suggesting that the ovaries were not damaged by the tubal ligation. Other studies, including one by the American Society for Reproductive Medicine, have also failed to confirm the existence of post tubal ligation syndrome.

Future Hysterectomy

Another side effect that might worry women is the reported association between tubal ligation and the risk of future hysterectomy. Clinical studies published in the Journal of Obstetrics and Gynecology show a statistically small increase in hysterectomies in spayed women in the US.

The researchers hypothesized that this was due to the sterilized women’s lower threshold for willingness to undergo a hysterectomy rather than the presence of other factors. American Family Physician points out that hysterectomy rates are higher in the US than in the rest of the world.

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They state: “For women sterilized before age 30, a plausible biological effect of sterilization on risk of hysterectomy is unlikely.” Results from studies in other countries do not report the same increased risk of hysterectomy after tubal ligation like in the US.

Ovarian or Breast Cancer

Women considering tubal ligation may be concerned about an increased risk of ovarian or breast cancer, or an increased risk of other diseases.

However, the Collaborative Review actually found a reduction in ovarian cancer rates in patients who underwent tubal ligation in both the US and other countries, and they found no association between breast cancer and tubal ligation.

Pelvic inflammatory disease rates also decreased in women whose tubes were tied. If P.I.D. When abscesses occur, fewer sterilized patients have had to be hospitalized for treatment than their non-sterilized patients.

Regret The Decision

Regret is perhaps the most discussed side effect of tubal ligation among women and their doctors before surgery. Common factors associated with regret include a young patient and unpredictable life events, according to the American Family Physician report.

Pressure from spouses, doctors, relatives, and others also influences whether a woman regrets her decision to seek permanent contraception through tubal ligation.

Long-Term Side Effects Of Tubal Ligation

Tubal ligation is an operation performed to block a woman’s fallopian tubes. This procedure prevents a woman’s eggs from moving from the ovary, through the fallopian tubes and into the uterus. Sperm cannot reach the egg in the fallopian tube after ovulation, preventing pregnancy. Some women may experience long-term side effects, which include:

Regret After Sterilization

While not all women will regret their decision to have a tubal ligation, others may. Some factors that can influence this sense of regret in women are being young at the time of the procedure, often being 30 years or younger, and unforeseen life events such as a new spouse or the death of a child.

Some women will regret getting sterilized because of pressure from a partner or just for medical reasons. When considering a tubal ligation, think about your full range of birth control options and which one will work best for you.

Sterilization Failure And Ectopic Pregnancy

Sterilization failure is a rare complication that can occur years after the procedure has been performed. Reasons for sterilization failure include an undetected pre-existing pregnancy, closure of the wrong structure, incomplete or inadequate closure, slippage of a mechanical device, development of a tuboperitoneal fistula, and spontaneous reanastomosis or recanalization of previously severed tubal segments.

If sterilization fails, the pregnancy is more likely to be ectopic than in a woman not using birth control who becomes pregnant.

Changes In The Menstrual Cycle

Tubal ligation can cause menstrual changes in a number of ways. The blood supply to the ovaries can be cut off and reduced, which can lead to ovarian dysfunction and alter the production and/or release of estrogen and progesterone in the ovaries.

Side Effects Of Tubal Ligation
Side Effects Of Tubal Ligation

There can also be disruption in the direct diffusion of estrogen and progesterone from the ovaries to the uterus, leading to endometrial dysfunction. Another possibility is uterine vascular obstruction.


NCCRM offers many types of tubal ligation including bipolar coagulation, fimbriectomy, monopolar coagulation and more. Tubal ligation is considered a very safe procedure and complications are rare.

Although tubal ligation is not meant to be temporary, our doctors can reverse it. To begin your tubal reversal process, please first fill out this form. Check your BMI here to see how your weight affects the cost of your tubal reversal surgery.

Alternatives To Tubal Ligation

If you want a tubal ligation but are concerned about post tubal ligation syndrome, talk to your doctor. They can explain some other long-lasting, reversible birth control methods. An IUD (intrauterine device), for example, is a tiny device that is inserted into your uterus.

A contraceptive implant, about the size of a matchstick, is placed in your arm. These methods can last up to 10 years. They are up to 20 times better at preventing pregnancy than birth control pills.

Vasectomy vs. Tubal Ligation

The male equivalent of a tubal ligation is a vasectomy. During a vasectomy, the vas deferens is severed, preventing sperm from being released. Like a tubal ligation, a vasectomy is a permanent form of sterilization.

A vasectomy is a safe medical procedure with a recovery period of just a few days. It is 99 percent effective in preventing pregnancy and has no sexual side effects. However, like a tubal ligation, it does not protect against sexually transmitted diseases.

In the United States, tubal ligation is more common than vasectomy; However, vasectomies are typically less expensive than tubal ligations and have even fewer associated complications.

People who are in a committed relationship and are sure they don’t want to have children in the future should weigh the pros and cons of a tubal ligation or vasectomy. The risks to each individual and their personal medical history should be carefully considered.

Frequently Asked Questions (FAQs) On Post Tubal Ligation Syndrome

Is there any chance of pregnancy after Tubal Ligation?

Tubal ligation is one of the most effective ways to prevent pregnancy, with rates of pregnancy around 1/1,000 after the first year, and between 2-10/1,000 after the second year.

How much Tubal Ligation cost?

For patients not covered by health insurance, tubal ligation typically costs between $1,500 to $7,000. The cost of your tubal ligation may vary based on where you live, your doctor, and your insurance coverage.

What is Bilateral Tubal Ligation?

Bilateral Tubal Ligation (BTL) is a surgical procedure that closes a woman’s fallopian tubes. It is a simple surgical procedure that results in permanent contraception by blocking the fallopian tubes, either by cutting, clamping, tying or burning them.

Is Tubal Ligation Recovery time taking?

How long it takes you to fully recover depends on the kind of surgery you had. After a laparoscopy, it usually takes about 1 week. You can usually recover from sterilization within a couple of days. How long it takes you to fully recover depends on the kind of surgery you had.

Is it real that big belly after tubal ligation took place?

If the surgeon used gas to blow up your abdomen to do the tubal ligation, you may have some bloating. If you have liposuction again, it may make things worse. Then there is a chance to become a belly little fatty.

Can you get pregnant after Tubal Ligation?

Tubal ligation is an extremely reliable method of preventing pregnancy. Less than 1 in 100 women will become pregnant within a year of surgery. But several things play a role in your chances of conceiving later. While all work well to prevent pregnancy, not all are equally effective.

Does Tubal Ligation stop periods?

Tubal ligation prevents an egg from traveling from the ovaries through the fallopian tubes and prevents sperm from traveling through the fallopian tubes to the egg. The procedure will not affect your menstrual cycle.


The many symptoms of post tubal ligation syndrome have debilitating potential. If you feel you need to take any form of hormone replacement, it’s important that you speak to your doctor first. There are many different types of hormones and different types of hormone replacement options.

You need the right guy for you. The wrong type or combination of hormone replacements can cause serious side effects, including cancer.

Find out what causes hormone imbalance and what you can do to address these issues.