Tubal ligation may have a failure rate of over 5 percent

According to this article, methods like IUDs and the implant may be more effective at preventing pregnancy than a tubal.

This is based on a study of 4,000 women. Apparently women who got their tubes tied after loafing and older women who took part in the study were less likely to experience a sterilization failure compared to younger nulliparous women. I don't know WTF breeding has to do with the effectiveness of a tubal - it's not like an IUD where your uterus can spit it back out because it hasn't been stretched out from calving.

Unsurprisingly, many women who got pregnant after a tubal wound up with an ectopic pregnancy. Which sucks enough as it is, but fuck me sideways, imagine fighting tooth and nail to get a tubal and not only having it fail, but living in a state where you have to wait until you're a second away from dying before doctors will perform a life-saving abortion to remove a tubal pregnancy.

I'd like to know if the failure rates were more prevalent in areas where there are Bible thumpers. Like could sabotage by pro-breeder doctors be a factor? They just make an incision and say the woman is sterile, but in reality they did nothing or they intentionally performed the procedure poorly so the woman might wind up pregnant anyway? Like how would the woman even know? She probably wouldn't, and since there is a small chance of a failure, she couldn't sue in the event of intentional sabotage.

Also, I want to know how tubals fail exactly. Do the fallopian tubes grow back together like vas deferens(es) sometimes do? Are the tubes not adequately blocked off to prevent the sperm and egg from meeting? It is possible some women might have a third ovary with a tube that gets missed because who is looking for three fallipian tubes?

This is probably why more women are asking for their tubes to be removed entirely, although even THAT is not 100 percent guaranteed. It is possible for a sperm and an egg to meet in the abdominal cavity and for a fertilized egg to latch onto a nearby organ. It's insanely rare, but it is the fucking stuff of nightmares. Normally an abdominal pregnancy is considered non-viable, buuuuuuut since Roe v. Wade got overturned, that may no longer be the case.

https://www.washingtonpost.com/wellness/2024/09/15/tubal-sterilization-effectiveness-questions/

Quote

More than 5 percent of women who get their tubes tied later become pregnant, a new analysis suggests — and researchers say the failure of tubal sterilization procedures, which are widely considered permanent, “may be considerably more common than many expect.”

The study, published in NEJM Evidence, used data from the National Survey of Family Growth, which looks at contraception use, pregnancy and birth outcomes among a representative sample of U.S. women aged 15 to 44. The data was assembled during four waves of data collection from about 4,000 women who had tubal ligations between 2002 and 2015.

Most of the women surveyed reported opting for the procedure postpartum out of a desire not to have more children.

Other analyses of National Survey of Family Growth data have found that tubal sterilization, also known as having one’s tubes tied, is the most popular method of “permanent” sterilization, used by 22.4 percent of women of reproductive age in 2016. Despite such wide use, however, the researchers in the current study found “nontrivial rates of pregnancy” after such procedures.

Between 2.9 and 5.2 percent of the women studied reported getting pregnant after a tubal sterilization procedure, and between 12.1 and 32.6 percent of participants reported an ectopic pregnancy. Those who got postpartum procedures were least likely to report a subsequent pregnancy after tubal sterilization, and older patients were less likely to report a pregnancy after the procedure than their younger counterparts (well no shit, that's probably due to lower fertility brought on by aging)

Demographic factors like Medicaid status, race/ethnicity, educational attainment, or living in a metropolitan area were not associated with higher sterilization failure rates. Nor were diabetes or obesity.

The pregnancy rates after tubal sterilization “were not trivial and may be considerably more common than many expect,” the researchers write.

“When choosing what birth control will work best for them, people consider many different things, including safety, convenience, and how fast they can start to use the method,” says Eleanor Bimla Schwarz, chief of the UCSF Division of General Internal Medicine at Zuckerberg San Francisco General and the study’s first author, in a news release. “This study shows that tubal surgery cannot be considered the best way to prevent pregnancy. People using a contraceptive arm implant or an IUD are less likely to become pregnant than those who have their tubes tied.”

The researchers call for more inquiry into the “real-world effectiveness” of different forms of contraception.

The only fully proven sterilization is full hysterectomy.

+++++++++++++

Passive Aggressive
Master Of Anti-brat
Excuses!

with the ability of these little shit parasite swimmers and eggs ability to latch onto anything.. sometimes I wonder about that.. it most likely would lower the chances even more but good lord..

two cents ¢¢

CERTIFIED HOSEHEAD!!!

No one is more arrogant towards women, more aggressive or scornful, than the man who is anxious (insecure..my word) about his virility. Simone de Beauvoir

people (especially women) do not give ONE DAMN about what they inflict on children and I defy anyone to prove me wrong

Dysfunctional relationships almost always have a child. The more dysfunctional, the more children. The selfish wants of adults outweigh the needs of the child.

Some mistakes cannot be fixed, but some mistakes can be 'fixed'.

People who say they sleep like a baby usually don't have one. Leo J. Burke

Adoption agencies have strict criteria (usually). Breeders, whose combined IQ's would barely hit triple digits, have none.

Quote
twocents
with the ability of these little shit parasite swimmers and eggs ability to latch onto anything.. sometimes I wonder about that.. it most likely would lower the chances even more but good lord..

If you have no eggs for sperms to meet, no fertilizing can happen.

+++++++++++++

Passive Aggressive
Master Of Anti-brat
Excuses!

true crazy but the insane things that happen makes me wonder at this on occasion. if the ovaries are gone, then definitely no kiddies.. but snipping, there always is the chance.. it just makes me marvel that these things, if present even with the snips and such (even both) just are bloody determined to create a damned unwanted baby. and screw up the mother..

two cents ¢¢

CERTIFIED HOSEHEAD!!!

No one is more arrogant towards women, more aggressive or scornful, than the man who is anxious (insecure..my word) about his virility. Simone de Beauvoir

people (especially women) do not give ONE DAMN about what they inflict on children and I defy anyone to prove me wrong

Dysfunctional relationships almost always have a child. The more dysfunctional, the more children. The selfish wants of adults outweigh the needs of the child.

Some mistakes cannot be fixed, but some mistakes can be 'fixed'.

People who say they sleep like a baby usually don't have one. Leo J. Burke

Adoption agencies have strict criteria (usually). Breeders, whose combined IQ's would barely hit triple digits, have none.

Quote
twocents
true crazy but the insane things that happen makes me wonder at this on occasion. if the ovaries are gone, then definitely no kiddies.. but snipping, there always is the chance.. it just makes me marvel that these things, if present even with the snips and such (even both) just are bloody determined to create a damned unwanted baby. and screw up the mother..

Nods vigorously.

+++++++++++++

Passive Aggressive
Master Of Anti-brat
Excuses!

I knew someone with four unplanned kids: one from a condom her brothers put a hole in for funsies, one with an IUD inserted, one after her ligation and one after his vasectomy. This woman would have needed the hysterectomy to have not have children (or four abortions). Talk about causing lots of fear and anxiety, even with my copper IUD.

When I attempted to get a ligation from a doctor (who supposedly was willing to sterilize a child-free woman) she ended up railroading me into an IUD instead. At the time I wasn't happy about it but it was a very short list of doctors (in 2006) so I just had to deal with it. It seems like I gathered the odds of pignasty and figured out that the IUD had a better chance of preventing pregnancy because I knew an IUD had less than a 1% chance of failure. My disappointment was more about her unwillingness to allow me to have a permanent form of sterilization than anything.

This makes me wonder if an IUD was the better option or not. Though I would prefer a permanent sterilization. Here's for my age also working against my odds of becoming pregnant. I still insisted on always using my own form of birth control even when dating a man with a vasectomy because even if an IUD has a 99.9% chance of preventing pregnancy I'd rather a vasectomy close up that final .1%. And that doesn't take my age into account, either!

I considered an IUD too, but I thought the cons outweighed the pros. Mostly I was afraid of the pain because I'm a big wuss and it's my understanding that pain prevention/relief with insertion is a joke. Also the fact that it can either make periods a lot worse, or make them non-existent and I like the peace of mind having a period gives me. Also worried about expulsion since that seems more common in nulliparous women, though I think there are smaller IUDs now specifically for women who have not given birth.

The thing is I don't know why insertion hurts so badly. Like I've read women's accounts of undergoing abortions and they say it kind of feels like bad period cramps. But then a lot of women describe IUD insertion as sometimes being worse than childbirth as far as the pain and terrible cramping and burning for days, weeks and months afterward. It's wild to me because an abortion involves vacuuming out the uterus and IUD placement involves putting a tiny stick into the uterus. You'd think the abortion would hurt more.