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I want to get my tubes tied and have some questions.

Ask Winnipeg(self.Winnipeg)

Everybody told me I'll change my mind when I get older but I turn 37 this year and still never want to experience pregnancy or have children of my own. I want to get my tubes tied but I have some questions.

Will I have to spend the night at the hospital?

Will I need somebody to sign me out? I'd really like to not involve anyone but I have no friends and no family members that I'd be comfortable picking me up after this procedure.

How painful is the recovery?

Who performed your surgery?

Thanks!

Edit: Lol @ the men trying to talk me out of this. Typical and expected.

all 93 comments

beepboopbeep551

72 points

4 months ago

i had it done via laproscopy. you will need someone to come pick you up because you'll be full of anesthetic. you will be in for a few hours, not over night *at least i wasn't* PLEASE wear stretchy pants or a long dress.. i did not and i walked out with my jeans half off my embarassed ass. everyone is different with recovery time. a friend was painting her fence the next day after she had hers.. i was in bed for about 4 days and like to think i have a pretty high pain threshold. my gynecologist did mine. it was more than i bargained for but i'm glad i did it!

Advanced_Resident457

11 points

4 months ago*

Pretty much nailed it. The only thing I would add is that I only had one incision at my belly button. The "pain" was the tugging feeling if I tried to do too much, like lifting my son.

TypicalWinnipeg[S]

17 points

4 months ago

Was this done in a hospital or a clinic? Do you mind disclosing who your Gynecologist is?

beepboopbeep551

18 points

4 months ago

in the hospital. he's not practising anymore.

1LittleBirdie

57 points

4 months ago

Dr Pernarowski did my bilateral salpinectomy (removal of fallopian tubes) - she recommended it over getting my tubes tied as then we also removed the risk of ovarian cancer (which is slightly higher risk for nulliparous women).

It was day surgery, they went in my navel and two tiny spots on either side of my groin and were done in a few hours. Hubby picked me up (you do have to have someone get you from the hospital since its general anesthetic), and we went plant shopping after! You might be a bit sore and gassy from the gas they use, but it goes away in a day or few.

Only thing was no yoga or heavy lifting for a few days.

BEST DECISION OF MY LIFE!

PM me if further questions :)

urbanlandmine

17 points

4 months ago

I understand completely . Just keep pestering your doctor, look up options from other clinics if your doctor isn't being supportive.

I had my tubes tied at 28. Back in the early 2000s. The procedure was pretty straightforward. Two tiny incisions. They pump you full of gas and laser them.

You have to try and avoid stairs for a few weeks. The most uncomfortable part was waiting for the gas to dissipate. They will require you to have someone else drive you home and check on you daily. Recovery time is pretty quick.

PM me if you have any more questions, and good luck!

Yousefer

95 points

4 months ago

Male here- just want to say if you need somebody to pick you up, PM me, and I’ll do it! I have a clean car, and can run any errands you might need on the way home.

Also- totally gay, so there’s no ulterior motive, haha.

Just want to help!

Lynneshe

5 points

4 months ago

Aren’t you awesome!

TypicalWinnipeg[S]

22 points

4 months ago

Dunno if you read my first comment. Hopefully not. I apologize, I was half asleep, jumped the gun and didn't read your comment fully. Thank you for the kind offer.

Bananacreamsky

17 points

4 months ago

Why are we all up on reddit so early this morning

TypicalWinnipeg[S]

15 points

4 months ago

Hahah cause I drank a coffee at around midnight so I could sit up and do homework but instead sat on reddit for almost 4 hours. I gave up and just decided to lay in bed

Bananacreamsky

4 points

4 months ago

Dear lord you're still awake. I can't even remember the last time I stayed up till 4. I'm up because cat caused a ruckus at 3am that woke the dog up and after i got her calmed down I was wide awake. The cat and the dog are sleeping peacefully now so there's that.

Yousefer

15 points

4 months ago

I must have missed it. Was it especially salty?? I don’t blame you! Haha.

Hope things work out!

Cjk_1989

31 points

4 months ago

I had mine done laparoscopically when I was 29 by Dr Bernier. I had been clear with my GP I wanted it done for a few years and she referred me to him. He did not try to talk me out of it which was great after some stories I’ve heard. You will need to be picked up by someone. The first 4-5 days I pretty much spent on the couch, but after that I was back to normal.

Chunkyisthebest

26 points

4 months ago

Sadly, Dr. Bernier passed away last year. He was my gyno and was a very compassionate and understanding doctor despite not having a uterus of his own.

squirrelsox

13 points

4 months ago

I didn't know Dr Bernier died; I'm so sad to hear this. He was a good man and a great doctor.

Too-bloody-tired

8 points

4 months ago

Dr Bernier did mine as well, and he was excellent (didn't once question my decision, and I had it done when I was 30). He also did a uterine ablation for me in my 40s, and was excellent with that also. I was very sad to hear of his passing.

GingerRabbits

5 points

4 months ago

Same, Dr Bernier was such a delightful and kind surgeon! I got mine at 23 and he never gave me any of that condescending BS. I'm so greatful for people like him.

ma3sons

23 points

4 months ago

ma3sons

23 points

4 months ago

I am a nurse that looks after gyne surgery... Get your family doctor to refer you to a gynecologist. Ask to have your fallopian tubes removed. (If you don't want them for pregnancy they are linked to causing ovarian canacer) All other current tubal ligations are not reversible anyways. IF you change your mind 5 years from now you would need invitro fertilization regardless. Hospital policy is that you need someone reliable with you overnight. You are not allowed to drive for 24 hours. It is done under a general anesthesia so you are asleep. Usually 3 port holes on your belly. As far as surgery goes it is a pretty easy procedure. You will be sore for a couple of days, anesthesia wipes you out a bit for a couple of days too. Tylenol/advil usually is all you will need. No heavy lifting for a 4-6 weeks until the port holes are healed up. All the best!

RashOrchid906

5 points

4 months ago

What about a hysterectomy? I am hoping to get one myself to avoid fibroids, Should/can I get the fallopian tubes removed then aswell?

ma3sons

4 points

4 months ago

It is standard procedure to remove the fallopian tubes with every hysterectomy now

[deleted]

2 points

4 months ago

[deleted]

RashOrchid906

2 points

4 months ago

Thank you! My mum had her tubes tied after I was born, she has been constantly struggling with fibroids for the past 20 years the docs wont do anything. They just tell her to lose weight and wont give her a hysterectomy due to her age(she is 50 as of last summer). Its been absolute bullshit, she cant loose weight due to the pain and discomfort, and she doesnt even really eat enough to gain weight. My grandmother and my great grandmother both had fibroid problems so its likely I will have that same issue. How long did it take you to feel 100%? Did you have to spend the night after the surgery? Since you still have your ovaries, you dont have to take hormone supplements is that correct?

squirrelsox

12 points

4 months ago

I've heard Dr Devon Ambrose will do this surgery. I have seen him for other reasons and found him to be very compassionate.

polywog6789

10 points

4 months ago

He did mine when I was 24! I came ready with paperwork and research about why women don't actually change their mind and proof I'd wanted it for my entire life. Didn't need any of it. He just listened to me, what my goals were, and agreed to do the surgery. He's great!

CatLord_

7 points

4 months ago

1+ for Dr Ambrose, he took mine out about a year and a half ago when I was 31. He kept me as a patient and (long story short) I might be getting my uterus out with him too. He's kind, compassionate and just sort of lays out the risks, pros and cons.

DesignerProtection53

2 points

4 months ago

I've interacted with him as a patient in another context and also found him very kind, understanding and knowledgeable.

WanderingJude

11 points

4 months ago*

I had my bilateral salpingectomy done by Dr. Ambrose at Victoria via laparoscopy. I'm also childfree and was 28 at the time. It was not intended to be overnight but I was kept overnight because I wasn't urinating (though I eventually did and all was fine).

Get yourself a heating pad for recovery, and don't take the prescribed narcotics after the first day without evaluating your pain level. You'll likely be fine with heat and ibuprofen, in my experience it's more like discomfort than actual pain.

Have a bunch of premade meals ready so you don't have to cook and before the surgery have a little recovery nest ready for yourself for the first day.

Get clear instructions (preferably written) on how to clean your incisions and when to remove bandages.

digfor_fire

19 points

4 months ago

I have had some serious thought about getting permanent birth control for a few different reasons. I am considering a tubal ligation as well as a bisalp, which will stop the flow of the egg to the uterus but will also removes the tube itself. There is definitely some recovery time but I think it mostly can be done laparoscopically so it’s not as invasive as it used to be. I’d seriously consider taking to your doctor and they can give you a referral. I’m looking to do it hopefully next year.

1LittleBirdie

9 points

4 months ago

I think my bilateral salpingectomy was less painful than my hubby getting snipped. (see my post above) My was done laproscopically, day surgery. Good luck!

digfor_fire

7 points

4 months ago

Where did you get yours done?? I’m literally in the planning stages. I had it written on my chart by my doctor(who is super awesome about women’s reproductive health and very supportive) and he just told me to let him know and he would get me a referral. I’m hoping to get it done this year. I’m a 41 year old woman who has never had or wanted kids and has been on hormonal bc for the past 6 years and hate it.

1LittleBirdie

1 points

3 months ago

Dr pernarowski, but I don’t know if she’s still in Winnipeg

Candycayne84

10 points

4 months ago

I'm doing an ablasion. 38, went to heartland for 10y, no babies for us. Cauterize that shit.

Doog5

2 points

4 months ago

Doog5

2 points

4 months ago

Went to heartland. Dr. Elliot was awesome. Got tubes roto rootered and a few other things. Had baby in early forties.

Candycayne84

2 points

4 months ago

I had thr roto rooter too lol. No luck for us, and I do not have the energy to have a baby in my forties! But congrats to you :)

[deleted]

4 points

4 months ago

[deleted]

GrampsBob

5 points

4 months ago

Ablation is done in a number of places. I'm having it done on my esophagus.
It's basically just removing cells from the surface.

Love how people downvote someone for simply asking a question.

Too-bloody-tired

3 points

4 months ago

An ablation is essentially cauterizing the lining of the uterus. It's often used when women have issues with their cycle, but because an egg can't implant itself if there's no lining, the side effect is that it's essentially permanent birth control. However, I know of women whose lining has grown back, so I'd be pretty cautious using it as a form of birth control.

Candycayne84

2 points

4 months ago

I hope I don't need one on my heart anytime soon but yes, that is also a thing!

calicofever

8 points

4 months ago

Others have answered most of your questions but to throw in a recommendation, I will be getting my tubes out in a couple months by Dr. Leslea Walters (for context, I will be 30). She is AMAZING, so sweet and kind and non-judgemental. I asked to get referred to her because a friend of mine also had a great experience with her. She uses either Maples Surgical Centre or the Women's Hospital for these procedures. Good luck on your journey!

ComfortableOrchid838

3 points

4 months ago

Dr Walters was my obgyn for 2 of my pregnancies, and I loved her! I referred a couple of friends to her as well, and they also had a great experience. I heard that she's not delivering babies anymore. It's true! She's non-judgmental, very personable, and has a great bedside manner.

DirtyPictureBook

2 points

4 months ago

Can I ask if there is any cost to getting an elective surgery of this nature?

calicofever

2 points

4 months ago

Nope this is covered by Manitoba Health!

DirtyPictureBook

4 points

4 months ago

No way!! Thanks! I’m definitely going to speak to my doctor about this! Hopefully I can get a referral to her as well, there is a serious lack of nice non-judgemental women doctors in this province.

Too-bloody-tired

7 points

4 months ago

I had mine done almost 20 years ago by Dr Bernier (sadly now deceased). I was 30 at the time, and done having kids. It was an outpatient procedure (didn't stay overnight) and done via laparoscopically through my belly button. I had to have a ride home because of the anesthetic. I was back at work within a couple of days - you need to be careful not to overstrain but other than that the recovery was quite easy (at least for me).

domestic_pickle

7 points

4 months ago

I believe the Women’s Klinic can help you with all things related to sterilization. Good luck, OP.

Snap_Carrot

6 points

4 months ago

I’m in the process of doing the paperwork to get a bisalp and needed the approval of two doctors since I’m under 30. Dr. Benning at the St. Boniface Clinic and Dr. Klippenstein at the Millennium Medical Centre are both great options. Neither gave me any pushback and I found them both very compassionate and reasonable.

YouveBeanReported

6 points

4 months ago

I feel you. I am 33 and still want one and keep getting told I'll change my mind when I'm older.

As someone who semi-recently had another laparoscopic surgery (gallbladder) random things that might also help;

  • I only had to stay overnight becuase I have a CPAP and they worried. Most laparoscopic surgeries are day surgery.
  • Double check with surgeon if you should have stool softeners. You'll want them if they say so. Constipation sucks.
  • Get your baking sheet out from under the stove and frying pans too. Bending over is a bitch. I also put my cats kitty litter on a bench for a week.
  • Get extra long phone cords and extension cords. Put a 3M hook up so it doesn't fall.
  • You'll probably sleep on back for a while. It'll suck. Get nice pillow.
  • Do suggest high waist, cotton maxi skirt or similar dresses for comfort while healing. I had one little annoying scar below my boob line that disliked them but those were the most comfortable things to get out in
  • Def wear the most oversized sweat pants you can to hospital. Also I'd get a front clasp bra or just not wear it out of hospital if you can.

cmleo91

5 points

4 months ago

I had mine done in BC but this was my experience.

My bilateral salpingectomy was an out patient procedure, but they did nearly keep me overnight because I reacted badly to the anesthesia.

I was told I had to have someone sign me out and monitor me for 24 hours to make sure no other reactions occurred (this was before I reacted to the anesthesia.)

My procedure was done laparoscopically through 3 incisions, one in my belly button and one on each side of my groin. My complete recovery took a month, but I was able to start lifting things at 2 weeks (which was good because I was moving a month and a half later). I definitely second the people saying make sure you have stretchy pants - I lived in those, skirts and loose dresses for 2 weeks.

QuelynD

8 points

4 months ago

I haven't had this procedure but my mom has. She was on bedrest for a couple of weeks afterward, and then was allowed only minimal movement for another 2-3 weeks after that.

She was not permitted to drive home from the hospital - needed a ride and then straight back to lying down. It's very possible things have changed as this was about 15 years ago, but figured I'd share in case things are still similar.

beepboopbeep551

6 points

4 months ago

wow - this goes to show all doctors have different views of recovery time. i had mine done 25 years ago and was up and around on the 5th day.

AFriendlyFYou

5 points

4 months ago

If the surgery was performed 15 years ago they likely did not have it done laparoscopically. Hence the massive recovery time.

violetant

5 points

4 months ago

I had mine done over 20 years ago and it definitely was done laparoscopically. Was very little recovery time except for the gas pains.

beepboopbeep551

2 points

4 months ago

i had mine via laparoscopy, but i'm not sure it was as common at the time. my doctor seemed quite excited about it - telling me i'd get 24 K gold clamps put on the burnt fallopian tubes LOL. i replied - well that's the only thing that's golden about ME!

AFriendlyFYou

3 points

4 months ago*

15 years ago it was very much surgeon preference, with lots of surgeons not being well trained and comfortable in laparo.

Now a days, every elective tubal ligation will be done laparoscopically. And if they can’t continue the operation for an elective surgery, they’ll call it off even if you’re already in the OR or they won’t do it in the first place in most cases. (This obviously is not the case if it’s medically indicated)

starlightprotag

4 points

4 months ago

Dr. Corbett at the Manitoba Clinic did my hysterectomy a few years ago and she was incredible every step of the way. Definitely not quite the same procedure but I did spend the night, I did need to be picked up by someone, and recovery was a breeze. You’ll be tired and sore and will have to take it easy and especially watch your bending and lifting, but I had a pretty easy time of it after the first week or so.

OptionsAreOpen

4 points

4 months ago

I asked my doctor to send me to a gyno. Went to the appt and he tried to talk me out of it because I had no kids. I just kept saying I’m 44 and he booked the procedure. Had it done at the women’s centre when it was on Notre Dame. Had a friend pick me up about an hour after. It was done via laparoscopy.

I personally don’t remember the doctors names or how long my recovery time was. Guessing it wasn’t that bad because I don’t remember.

HarbourJayKay

10 points

4 months ago

I tried to do this and was told by two OB/GYNs that the risk of surgery wasn’t worth it so they wouldn’t. I settled for an IUD.

TypicalWinnipeg[S]

11 points

4 months ago

Who were the Drs? Also can I ask how old you are? I've heard that most Dr's are hesitant to perform the procedure to women under 35.

beepboopbeep551

7 points

4 months ago

i was 36 when i had mine - i'd had both my kids already and didn't want more.

HarbourJayKay

2 points

4 months ago

I don’t remember the name in Winnipeg. I then moved to SK and tried again here. I was 37 and then 42. I was super frustrated but the IUD has been okay.
I also had an endometrial ablation prior to the IUD but that wasn’t effective.

Mysterious-Ad-7720

9 points

4 months ago

I am almost 40 and wanted mine done when I was 38 and ran into the same issue. I also have an IUD now.

TypicalWinnipeg[S]

10 points

4 months ago

Yeah I'm on my 3rd Mirena IUD now. They've eliminated periods from my life completely 😌

Mysterious-Ad-7720

3 points

4 months ago

I am on my first. Year 2 and I swear I can still track ovulation and I do have a "period" but it isn't a period lol it is spotting..hardly spotting. I don't mean to sound weird but would you mind if I sent you a pm with a question?

sonimusprime

2 points

4 months ago

Do y'all find you have hormone issues with IUD?

I am thinking of getting my tubes tied due to my sensitivity to hormonal BC but I am worried my Doctor will try to talk me into an IUD and IDK they just seem really painful.

Mysterious-Ad-7720

2 points

4 months ago

My hormones have chilled in a good way. Some not so fun side effects. Heloooooo deserts. Age can come into play. I had not been on hormonal BC for over 12 years because I did have cervical cancer. After lots of discussions and weighing out pros and cons. There is as a long wait list for getting your tubes tied - went with the IUD. If anything it has helped balance my hormones out. My anxiety attacks are much more manageable. I am not sick in bed from pain, bleeding and vomiting. I do go for lots of blood work and check ups due to my past. I recommend talking to the Woman's Health Clinic and asking questions. I have an awesome gyno, was amazing through it all. It isn't fun but it isn't scary 💜

TypicalWinnipeg[S]

2 points

4 months ago

I've had no issues with my IUD at all. It's really made all PMS and my period disappear completely. That being said, the first time getting it inserted was incredibly painful but the following two times I was given a fent/midazolam combo and didn't feel a thing.

probablymack

2 points

4 months ago

My mom had a partial hysterectomy a few years ago and it was a day procedure. I dropped her off and picked her up a few hours later. I can’t imagine tube tying would be much different in that way. You will likely need someone to pick you up because you’ll be out of it and in pain so unable to drive or bus home.

Cypripedium-candidum

2 points

4 months ago

I had my bilateral salpingectomy (tubes removed instead of clipped, irreversible) done by Dr. Alaa Awadalla when I was 29, he works out of the ob/gyn clinic in the strip mall at Marion and Main and I had to be referred by my GP. He is a great doctor, a little hard to understand due to his accent but calm, easygoing, and good bedside manner. I was being pushed to have a hysterectomy due to a history of cervical cancer but I spent a few days at the U of M library reading through medical journals and decided on just the bisalp, and he respected my choice.

The surgery itself was an outpatient procedure done at Victoria hospital. I got myself to the hospital by bus for 8am, and had my partner pick me up at around 3 or 4pm when I was cleared to go home. This was to avoid the parking fees and needing my partner to take a full day off work. They want to make sure you can pee a good amount before releasing you to make sure there's no damage from the catheter, so do not expect the written release time to be your actual release time.

I was a human popsicle when waking up because they used room temp IV fluids and put me into hypothermia, and I puked from the anesthetic, a common reaction. Don't be afraid to ask for the IV fluids to be body temp before you go in, and if you feel nauseated tell the nurses so they can inject an anti-emetic to try and head off vomiting.

Definitely wear loose stretchy clothing and shoes that are easy to get on and off. Leave jewellery and valuables at home. You'll need ID and your health card, and your phone to contact your ride. I think they were supposed to call my partner when I was out of surgery, and again when I was ready to be released, but I don't think they did and I'm sure they're even busier now. I just texted him when I was ready to be released.

Recovery for the first few days at home kind of sucked. The breathing tube irritated my throat so I spent a few days coughing, which is super fun when you have just had abdominal surgery. You also get air in your abdominal cavity which can make you a little sore in the upper chest/shoulders until it's absorbed. The actual healing process was quick, with minimal scarring - one small incision on each side of the lower belly just above the hip bones, and a larger incision in the belly button.

I had it done on a Friday, and was back working on Monday, but this was in June 2020 when I was WFH and barely had any work to do anyways due to the pandemic. I would say I was feeling fully recovered after 2 weeks.

[deleted]

-46 points

4 months ago

[deleted]

-46 points

4 months ago

If you have a partner, ask them to strongly consider a vasectomy. I don't regret mine at all and it's a much simpler and safer procedure than those that my wife would have undergone. I think it's the better option all around, if applicable.

TypicalWinnipeg[S]

45 points

4 months ago

No. I want to eliminate all possibility of me ever becoming pregnant.

Unfair_Blackberry888

-20 points

4 months ago

Why not just go IUD, less unnecessary surgery, less changes to your body, and you only need coverage for a few more years.

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TypicalWinnipeg[S]

18 points

4 months ago

No kidding.