Tubes Tied or Vasectomy?

Updated on May 16, 2008
H.W. asks from Winchester, CA
15 answers

Well, I am almost 25 years old. I have a 2.5 year old boy and I am 6 months pregnant with a little girl. Parts of me think I may want another child in my future.. but I am also a nursing student and really want the opprotunity to devote time ot my education and career without the worry of getting pregnant again. My last pegnancy was a ectopic rupture in which I almost lost my life. SO I am at the point where I feel that if I were to risk my life and the possibility of another tubal pregnancy when I already have 2 children, that would be really selfish. ALso, I am not able to take the pill everyday (I have tried). And most IUD's and long term birth control that doesnt require a daily commitment isn't available to women who have had tubal pregnancies.

I also think that adoption or foster care would be a much better option for my husband and I in the future. My question is should I have my tubes tied after delivery, or should my husband have a vasecotomy? He is more than willing, but if I am already in there should I just have it done? I have heard the vasecotomy is easier to reverse, which I cant imagine we would ever do, but it is something to consider. I plan on speaking with my OB about this, but wanted to get some advice from other moms. Thanks!

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N.J.

answers from Los Angeles on

Vasectomy is supposed to be a lot easier on him than a tubal will be on you. If he's willing go for the vasectomy, let him do it. We are waiting until my husband is 35, I was just put on Nuva Ring birth control. So far, its great, no worrying about a pill everyday, doesn't look like an old band-aid after a day like the patch did and it doesn't have the side effects that the shot has.

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D.M.

answers from Los Angeles on

Well, I am had the same experience as some of the other ladies. My husband volunteered and then wouldn't do it. Even his father got involved.(something I can't forgive) When he finally went through with it our lives seemed so carefree. No more worring and fussing with birth control. Sex was so much more enjoyable, my husband thought he married a new women. I don't think you should do either one if you are not sure though. Reversals are costly either way and they frequently make it very difficult to conceive in the futrue when you will be less furtile anyway. Good Luck

1 mom found this helpful
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M.A.

answers from Las Vegas on

My husband and I discussed years ago what we wanted to do in that case. Since at the time, it was not a good idea for us to have another kid. We were so not in a great financial situation at the time and had enough of a challenge taking care of one. We spoke with the doctor about it and he said my husband is a better candidate due to age. He was 28 while at the time I was only 23! And he (my husband)didn't want me going though a procedure that was going to keep me in the hospital a few days and then stuck at home to rest for another few days when he can get sniped on Friday and go back to work on Monday.

For him to do that for me was a total blessing and took a lot of guts. He is immune to most local anesthetics so he felt most of the procedure! But he was a rare case on that. If he is willing to do that then I say go for it. Its a lot less complicated and can be reversed. Although I think (don't quote me) but most insurance companies don't cover that, I'd double check that. And make sure that after the procedure you still have safe sex for a couple weeks. You need to make sure all the little swimmers are flushed out of his system. Take care and good luck!

1 mom found this helpful
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C.C.

answers from Reno on

A Tubal Ligation would be optimal if you end up having a c-section because you will be laid up either way. But if you end up having a vaginal birth you can be much more active post pardom and I wouldn't opt for the surgery for myself in that case. A Vasectomy is much less evasive and your husband can go about his day after with very little pain. My philosophy is that if my last delivery is a c-section I will have my tubes tied but if it's vaginal I would want my husband to have the Vasectomy. Why be on bed rest if you don't have to and your husband could have a quick snip and go about his day as usual? Those are my thoughts on it.

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J.C.

answers from San Diego on

Vasectomy. It's easier on him (a day or two in recovery vs. months for you) and he doesn't have to get it checked every 5 years to make sure nothing has come lose or slipped. You will.

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N.H.

answers from Los Angeles on

I think him having a vasecotomy after you giving birth sounds like a good exchange, that way you're both in some pain and sex is the last thing on your minds during the 6wk waiting period :)

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A.D.

answers from San Diego on

I had my tubes tied hours after del'y and wouldn't recommend it to anyone. I had my 3rd child at the end of march so have experienced 2 "normal" recoveries (after vaginal births) and then a recovery not only from delivering, but this surgery. My recovery from my first 2 children was virtually painless I had no problems up and running around hours after del'y. but not this time. The first few nights, I was in alot of pain, hard to move around, hard to lay down but couldn't sit up etc. I probably could have let the nurses care for my baby to help me, but I wanted to stay with her every minute since I knew that she was my last one. I know that some people have had it done, though not after del'y and they thought the recovery wasn't very bad, but to add recovery from a surgery on top of del'y was a huge shock to my body. Also, during the surgery, I could sense my body being moved around in which I'm sure added to the shock my body went through. I am much older than you 38, and have never had surgery so I may just be a wimp, but I would rather deliver a hundred more babies than do this ever again!

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K.E.

answers from Los Angeles on

Hi H.,
You are sooo young! I have three children. My oldest is almost 16 from a previous marriage and two little ones with my husband now. A 5 yr old daughter and a 3-1/2 yr old son. I opted for the tubal as I didn't think I wanted or could afford to have another child. I was extremely depressed for about a year, and I still regret doing it. Not to mention my periods have been worse then they ever were. I get terrible back aches, fatigue, cramping and clotting. If I had a do-over I would have gone with an IUD or alternate method.

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J.M.

answers from Los Angeles on

Hi H.:
If your a Nursing student,you no doubt know,that either procedure,is fairly simple. If you have it done imediately after the birth of your second child,your recoup,will be no longer,no different.Unfortunately,the vasecotomy is a bit more painful for men.My ex had one,and complained about the incision being painful,and he was swollen for a few days.While The men actually experience the most discomfort,If you are having second thoughts about another baby, It probably would make more sense,for him to have the vasecotomy,since,that is the only chance of reversing it. I understand,that,even with A vasecotomy, you need to inform the Dr. that you may want to reverse it,other wise, The way they do the procedure,determines the probability or outcome of (undoing it)..I wish you and your family , the very best.

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E.H.

answers from Los Angeles on

H., I would have the tubes tied. I had this done after my daughter was born on the same day and it was piece of cake. I was a little older than you when I decided to do this because I already had twin boys age 9 at the time. But was so glad to have my little girl. As you stated if you and your hubby decide later you want another child adoption would be a great choice.

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B.R.

answers from Los Angeles on

We are in exactly the same boat, minus the tubal pregnancy. However, I am giving birth in a birthing center, so it would still require a seperate trip for me (not that that would influence my decision, I don't think). I would go for the vasectomy- as you said, it's reversible, so even though you don't think you'll change your mind you have that chance if you do. Also, there are a lot fewer side effects for a vasectomy and it is a lot less invasive. My mom had a tubal and no side effects, but many women have early onset menapause and other ucky things happen after a tubal. It's what we've decided to do- and we're on the same page with the adoption thing. If we want more kids, why contribute more to the overpopulation of the world? We'll have our two (although my husband will probably regret it if this one isn't a boy, we don't know yet). But do some research on the side effects if you're not sure.

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J.A.

answers from Los Angeles on

My personal opinion: 25 years old is a bit young to choose PERMANT birth control. I HIGHLY recommend using a diaphragm for a few years. They are hormone free and easy to use. If at 30 years old you and your hubby still agree "We're done having bio-kids" then by all means, let him get snipped. I can tell you from the less fertile side of things though- wanting to have another bio-kid and having it be SOOOOO hard is devistating. I think it would be even harder to accept that we had CHOSEN this for ourselves. (I have PCOS and it took us nearly 2 years to concieve #2.) (Actually #3, because I lost my son's twin 4 years ago.)

I think it is AWESOME that you want to foster/adopt kid(s). Does your husband agree? I would LOVE to adopt, but my hubby doesn't see it in our future.

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M.

answers from Las Vegas on

My husband had the vasectomy. I wouldn't consider having my tubes tied unless I had a c-section and even then it was questionable. I like knowing that the vasectomy can be reversed and that I am still fertile even though we are done having kids. Also, tubes can come untied and can create a permanant pooch. That happened to my friend and her aunt. They are both skinny (even after 3 kids) and now have swollen looking stomachs since having their tubes tied. Once your husband does it and it is confirmed that the procedure is a success, then your worries are over.

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J.S.

answers from Los Angeles on

Since you seem unsure, you should wait. Have you checked with your doctor if there is something long term that may work for you? New stuff is out all the time. Only due something permanet if you are absolutely certain. Both can be reversed but it isn't a guarantee. I've heard that many women will do artificial insemination instead of a reversal because it is easier

I had a tubal the day my son was born w/vaginal delivery. If you have an epidural, they can keep it going and perform the surgery with you awake. I opted to be put out though-too freaky to be awake for me.
The incision was about an inch long just below my belly button. It didn't require any extra time in the hospital. I was very sore the next day, going through the tummy muscles hurts. By the time I checked out of the hospital though it was just mild discomfort. I went back 10 days later to get the staples out (painless).
My daughter asked the inevitible "how did the baby come out?" At 2 1/2 I didn't want to explain everything so the incison from my tubal was good enough for her to see how the doctor got her brother ou. (She knows the real way now.)

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J.L.

answers from San Diego on

Hi H., you are very young to be faced with such a decision. I am 51 years old, after I had my daughter 19 years ago, my doctor didn't want to put me on the pill, due to my age at that time 32 and I was/am over weight, for 19 years my husband has been pulling out, hope that's not tmi but it worked, I didn't want my body altered in anyway, and a vasectamy well lets just say, that wasn't going to happen, and I felt if i didn't want my body altered then i should feel the same way about his. My mom had her tubes tied at 35 and she said signing the papers to have it domne was very hard, cause even though she had 5 kids, she said not wanting any more and not being able to have anymore was two different feelings, give it time, you are so young, and I understand a out the problems that you have had, and you need to be around for the kids you do have, i admire you for really thinking this through. Let me know what you decide, and i will keep you in my prayers. J.

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