Tubal ligation (female sterilisation)

Tubal ligation is a permanent method of contraception. It consists of interrupting both fallopian tubes so that the egg and sperm can no longer meet. The ovaries continue to work normally: periods and hormonal balance are unchanged. The operation is usually performed by laparoscopy, through two or three small incisions. Depending on the technique, the tubes are closed with clips, sealed with heat, or removed entirely (salpingectomy), the latter option being increasingly offered. It can also be done during a caesarean section if the decision has been made beforehand. This is an important decision and should be considered irreversible. It is reserved for adult women who no longer want a pregnancy, after full information about other contraceptive methods, especially long-acting ones. A consultation for reflection and a waiting period before the operation are planned so that the decision can be made calmly. At Clinique Pasteur Tunis, the gynaecologist takes the time to explain the method, its limits and the alternatives, and to answer questions from the patient and, if she wishes, her partner. The operation is performed as a day case.