Getting Your Tubes Tied with PCOS
For women with polycystic ovary syndrome (PCOS), permanent contraception like getting your tubes tied may be an appealing option. However, there are important considerations for those with PCOS considering tubal ligation.
Understanding PCOS and Fertility
PCOS involves a hormonal imbalance causing ovarian cysts, irregular periods, and often infertility issues. Yet some with PCOS can still ovulate and get pregnant unexpectedly. This makes contraception complicated with tubal ligation offering a permanent solution.
However, even after getting tubes tied, those with PCOS may struggle with ongoing symptoms like:
- Excess male hormones
- Facial/body hair growth
- Scalp hair loss
- Obesity
- Insulin resistance
- Skin tags
Without ovaries removed, ties tubes alone won’t resolve PCOS itself. Hormone levels may remain high post-surgery.
Advantages of Tubal Ligation with PCOS
Permanent sterilization offers women with PCOS several potential benefits including:
- No pregnancy worries - Unexpected conception unlikely
- No contraceptive side effects - Avoid mood, weight and blood pressure issues on birth control
- Reduced cancer risk - Lower odds of reproductive organ tumors later on
- Cost savings - No ongoing costs for prescription birth control
For those finished growing their families or not wanting kids at all, tubal ligation brings significant lifestyle advantages.
Considering Ovary Removal Also?
Some women opt to have their ovaries removed during the same surgery as tubal ligation. This eliminates virtually all remaining risk of pregnancy. It also reduces male hormone production to ease PCOS symptoms like excess hair.
Yet ovary removal impacts long term health by:
- Initiating menopause if done before natural age
- Raising earlier cardiovascular and bone disease odds
- Potentially decreasing longevity
Have an in-depth talk with your gynecologist about the risks and benefits of concurrent oophorectomy.
Ectopic Pregnancy Risks After Tubal Ligation
While uncommon, pregnancy can still happen after getting tubes tied. This raises the possibility of a dangerous ectopic or tubal pregnancy.
Risk rates for post-sterilization pregnancy are lower with cauterization methods than ligation by cutting/tying tubes. But ectopics remain possible, especially within the first years after any tubal procedure.
Is Ectopic Risk Higher with PCOS?
Some research indicates women with PCOS may face higher ectopic pregnancy chances both before and after tubal ligation. Doctors aren’t exactly sure why those with ovarian disorder appear at increased risk.
Theories include:
- Altered Fallopian tube structure/function
- Faster embryo transport through tubes
- Hormone imbalances impacting implantation
- Greater risk of cell abnormalities in embryo itself
More studies on the links between PCOS and ectopics are still needed. But it highlights the importance of prompt care for post-sterilization conception.
Signs of Ectopic Pregnancy
After tubal ligation, be aware of potential ectopic red flags like:
- Missed/abnormal periods
- Lower tummy pain
- Unusual spotting/bleeding
- Dizziness or fainting
- Shoulder pain
Catching ectopics early is crucial to preserve the Fallopian tube and avoid life threatening internal bleeding.
Surgical Considerations for Tubal Ligation with PCOS
Several factors around the tubal ligation procedure itself must be weighed for those with PCOS.
Anesthesia Concerns
General anesthesia is typically used for tubal ligations. But those with PCOS have increased risks for breathing issues or blood clots under sedation.
Be sure your surgery team understands your PCOS status before scheduling. Additional monitoring or medications may be warranted.
Incision Options
Tubes can be tied/blocked via:
- Minilaparotomy - small open abdominal incision
- Laparoscopy - several tiny cuts, camera guided
Obese PCOS patients may not be candidates for less invasive laparoscopic surgery. Extensive abdominal scarring from prior surgeries can also complicate matters.
Discuss optimal surgical approach for your unique case with doctors beforehand.
Post-Op Considerations
After any surgery, women with PCOS often face slowed recovery times and higher complication risks including:
- Bleeding
- Infection
- Blood clots
- Poor wound healing
Extra incision care, early ambulation, and post-discharge monitoring helps minimize problems.
What About Tubal Ligation Reversal?
A small number of women regret permanent contraception later on and consider tubal reversal.
For patients with PCOS, attempted reversal may not automatically restore fertility however. This depends on the original tubal damage, the woman’s age, whether she has other infertility factors besides PCOS, and more.
IUI, IVF, or choosing a surrogate may still be needed to successfully conceive after ligation reversal.
Carefully weigh options before permanent sterilization when fertility hopes still exist. Your gynecologist can advise if reversible long-term birth control like IUDs may better suit your situation.
Seeking Tubal Ligation with PCOS
Tubal ligation offers reliable contraception for those with PCOS finished expanding their families. But consider both short and long-term physical and emotional consequences before this permanent step.
Discuss all pros and cons openly with your gynecologist. Also talk with your partner, trusted friends, and women who’ve undergone the procedure. This ensures you make a fully informed decision that’s right for you.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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