Tyin' the tubes

Caitlin - posted on 04/18/2011 ( 48 moms have responded )

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Well.. This is my third pregnancy, and I want it to be my last, my husband wants it to be my last and I'm trying to make an odd decision. I'm 26 years old, and in october I will be delivering my baby, and was debating doing this one by c-section and having the doc tie my tubes at the same time. He's not keen on the idea, saying i'm still young, and may decide in 10 years I want another one (in which case - i'd adopt most likely) but I figure if I can get the delivery and tubes tied at once, then maybe that's the best option.

The hubby said NO vasectomy and in no way do i feel pressured to chose this option because he wont have a vasectomy. He knows that the tying the tubes is more invasive, and i'd only get it done if I could get it done at the same time. This is a personal decision mostly because the types of birth control that I have tried, I've reacted very badly to (depo, the pill, nuva ring, various barrier methods). I was debating a IUD, but that would have to be changed, and since this is PERMANENT, I don't really see the point..

Any advice on the procedure? A good idea or not? Have YOU done it..

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Jodi - posted on 04/18/2011

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Caitlin, I was advised by my OB NOT to have my tubes tied within 6 months of delivery. I asked the question because IF I happened to need a c-section, I was going to give them permission to tie my tubes at the same time - we were just planning it all up front.



Anyway, he told me the failure rate is much higher, because the hormones in the body at the time of giving birth to a baby promote healing.....and that would include your tubes apparently.



Upon looking into it further, it turns out that the general failure rate of having your tubes tied is 1 in 300. The failure rate of those who had it done when having a c-section is 1 in 200. Quite a significant different.



In the end, we decided on the vasectomy. There was no point cutting me open for a 1 in 300 failure rate, when my hubby could have something done that is 1 in 2,000 AND far less intrusive :P

Tara - posted on 04/18/2011

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I would wait and have a vaginal birth and then have my tube tied after about 2 months or so. It can be done on an impatient basis, through two incisions, one low by your pubic bone and one through your navel. It's called a laproscopic tubal ligation, my recovery was all of 4 days and I was back to normal. The stitches dissolved in about a week.
Much less invasive than a section.

~♥Little Miss - posted on 04/20/2011

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Caitlin, if I was to have a repeat c section, I also was gonna get fixed right then, but I was not willing to have a repeat just to get my tubes tied. I ended up having a vbac, and waited 3 months after she was bofrn to have my tubes tied. It really was not bad at all. Took me about 1 week to fully recover I think.

Ez - posted on 04/19/2011

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I have heard horror stories about people who got tubals done and then had major hormonal issues because of it, early menopause and all that fun stuff.

This happened to my Mum. Not trying to talk you out of it Caitlin, but it is important to realise that the effects of a tubal are MUCH bigger than a vasectomy. My Mum had her tubes done after her my brother was born (her second HG pregnancy) at 29. Her OB came in and flat out said 'I am tying your tubes because another pregnancy could kill you'. She had the surgery when he was a few months old, and had major weight gain, hormonal fluctuations and eventual early-onset menopause. If it were me, I would work on the hubby a bit more lol.

If you do decide to be the one to go under the knife, I would go Tara's route. A laproscopic procedure sounds far more appealing than a c-section.

[deleted account]

Oh btw, have you looked into Essure? It's a fairly new method of sterilization that's even less invasive than the procedure I had done. They can do it in the doctor's office. I"m not describing it the best way but basically they insert these little spring coils into the fallopian tubes. Scar tissue naturally forms over them, creating a permanent barrier on it's own. I looked into this but only chose the more traditional method because it's effective immediately. This new one requires you to wait a few months for the scar tissue to form and you need some ultrasounds to verify you're sterile. But again, it's less invasive and fewer days in bed crying and eating percocet like peppermints. ;)

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Connie - posted on 04/21/2011

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I had my tubes tied about 5 weeks post partum because they said you had to wait at least 30 days after signing the forms to have it done and my doctor was going to be out of town and of course the surgical area was booked full the day our last one was born. I have four children and this was the right choice for me because I did not want to keep using birth control forever and this was permanent and only one time, although I am also 37 yrs old so it was a good time for me and my surgery was out patient, only there for a few hours depending on the way you react to the sedation of the meds.

[deleted account]

Jeez. I'm 20 and I am considering getting it done. I actually haven't asked but now I have a feeling that the doc will say NO WAY because of my age > - >

If I wanted more kids I would adopt...and since when is it their choice any way? D:

Debby - posted on 04/20/2011

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When my kids were born, this was the "norm", and an option only if you were having a hyst.
That being said....hubby is a surgical nurse and they do these regularly.
Stats: Tubal vs. vasectomy: tubal has a much lower fail rate. It is a bit more invasive, but the largest prob will be the nitro used to inflate the tubes leaving you with a gassy feeling.
All in all, it is your right as a patient to make this choice and your doctor may NOT discourage this...just "give you the concerns". In fact, lang ago, both me and my hubby had to sign off on it. Good luck!

[deleted account]

The essure thing is a a good option but you have to have a hysterosalpingogram 3 months after to make sure it is bocked. The test is painful for most ppl but I had one and felt nothing the nurse and doctor was surprised but I had no blockage. It may feel different if your tubes are blocked like after the essure procedure.

[deleted account]

I might add I am 58 and had my tubes tied when 29, right after my daughter's birth ... NEVER ever had problems or cramps or anything ... some women suffer monthly & others don't ... I LOVED having them tied .. no more problems or worries of pregnancies, etc ... & my daughter's now the same way ... no birth control pills, not worries of cancer or effects from those things in later years ... it takes a real load of most of our shoulders if we're sure it's what we want & someone else didn't talk us into it! :) Made your decision in any direction & go after it until you get what you want. Wish you luck!

[deleted account]

There is a new proceedure ESSURE (I think it's spelled right, but google it ... I found it ... they insert a little 'spring' up each tube ... non invasive .. no operation, my daughter had it done as she was afraid of being put under anesthetic ... she is very happy with that &they told her she might get some menstral cramps, but she didn't suffer & most women are USE to cramps ... she liked it & Drs were wonderful ... it's a NEW proceedure

[deleted account]

There is a new proceedure ESSURE (I think it's spelled right, but google it ... I found it ... they insert a little 'spring' up each tube ... non invasive .. no operation, my daughter had it done as she was afraid of being put under anesthetic ... she is very happy with that &they told her she might get some menstral cramps, but she didn't suffer & most women are USE to cramps ... she liked it & Drs were wonderful ... it's a NEW proceedure

[deleted account]

I would like to mention that there is no proof stating the hormonal problems some women experience after a tubal is caused by the tubal itself. The most commmon thought by doctors is that after being on hormonal birth control for so long women notice issues that were previously masked by it once discontinuing hormonal bc. You still keep ur ovaries and they still do their job hormon wise. In fact when women complainging of hormone probs were tested turned out their ovaries were functioning normally. I for example get 12-14 day periods when off bc so obviously having a tubal and going off bc would likely bring that back (thanks to bfeeding not yet!) cant remember exact sources for alll this info but i talked to my doctor and researched on computer before i went thru with my surgery.

[deleted account]

I had mine tied about a month and a half ago afterr my 2nd child. I am 22 (23 next month) and I am POSITIVE i am done having kids. I had a vaginal birth then had tubes tied a few weeks after. I was so sore for about a week. Personally I wouldnt want to do a c-section and tubes at once if u can have a vaginal birth. The scar from tubes is in ur belly button and only requires 1 or 2 stitches so no scar (laproscopy)! A c-section on the other hand requires a good size incision and I imagine a great deal more pain. Seems like doing them seperately would be easier to recover from. If you NEED the c-section anyways then I would do them at once but only if you had to be cut anyway. Especially because a c-section can pose more risks for you and baby than vaginal usually anyway.



My hubby was going to get vascectomy but insurance only covered my tubes so thats what we did.

Caitlin - posted on 04/20/2011

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Thanks for your experiences ladies! I'm going to talk it over with my doc at my appointment in May, of course find out if he'll even do the procedure, because that could change things. I dont' really have to wrry about insurances and everything - it's covered here I believe, and i'm pretty set on getting it done if I can. I really loved the idea of adopting, and would have done it for sure if I had had any troubles conceiving at all, but I'm apparently very fertile, so that wasn't really an issue, but 10 or so years down the line if i'm in a position to want another one, i'll adopt for sure, because with at least 2 older sisters, i'm sure there wont be any lack of love in the house...

And about the SIDS thing, I told my hubby even if I were to miscarry or have a stillbirth for whatever reason, I wouldn't want to be pregnant again, it knocks me on my ass, so trying again for that reason wouldn't even happen - I'm SOOO done with pregnancy...

Momof1 - posted on 04/20/2011

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I think if it is what you want, then you should do it. If you do not want any more kids. But like you said, you can always adopt. And even if you wanted another kid in 10 years, it is always riskier the closer you are to 40. That being said, I wouldn't necessarily get a C-section just to get your tubes tied. I believe (if I remember correctly from my nursing courses) there is a less surgically invasive way to get tubes tied. I couldn't imagine taking care of a baby after a c-section/surgery. Although I know many women do it. I'm not saying it isn't possible, obviously.

Now for me, I don't think I'd ever get my tubes tied, unless it was medically necessary. Not only due to the surgery risks but the other things that go along with it. My husband is a no on vasectomy. So I don't know what I/we will do after we have our last. We only have a 17 month old at the moment and want 1 more when he is 3 or 4, so that puts me at 27 or 28. I would like three kids, but that all depends on our finances and if I'm able to get back to school. All I can say is do all the research you can. It's not like you only have 1 or 2 kids, you will have 3.

Vegemite - posted on 04/19/2011

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I was 30 when i had my youngest and couldn't find anyone who would do it because I was too young and if, God forbid, something happened to any of my kids i might want to have another. For the same reason we can't find anyone who'll give my husband a vasectomy. So I'm still waiting to have my tubes done. I have lots of hormonal side effects from birth control but just have to put up with it because I'm also allergic to latex so can't use condoms. I'm currently on implanon which gives me extended light periods but of all the contraceptives I've tried that side effect is the easiest to deal with. I'm currently on a peroid that so far lasted 3 weeks. I just wish someone would tie my tubes.



There is now a procedure called a mini-laparotomy it's a day or over night surgery and is not major.

[deleted account]

Since my husband flat-out refuses to get snipped, I'll have to be the one to volunteer to get my tubes tied. I have one child and have absolutely no urge for anymore. But I have anxiety/panic attacks just even going to the doctor's. It's something I am considering later on this year.

[deleted account]

I did it after my 5th child and I was 30 though my husband wanted the 5th child as I was ready to stop at 4. (age 28/29) I think that if you both are ready to stop and don't want more then go for it. Just be sure in your heart so that you don't regret later. I have been "fixed" for 3 yrs and have no regrets. Ok. I miss having babies and said babies running around the house but I love what I have now and am comfortable/happy with that. I actually had my tubes tied as I had ended up pregnant on 2 different forms of birth control. (go figure) I didn't want to try any more forms except one that would be final. :)

good luck with your choice and congrats on the baby!

Adelaide - posted on 04/19/2011

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I was 26 when I had my third child. Because my pregnancies, I did not want to have another child. I was a little afraid and my doctor did try to talk me out of it. I told her I would not be able to handle another pregnancy. I had the same feelings you have...if I want another baby down the road I can adopt, but by then, I could very well be a grandma! I am now 29 and I have no regrets with having my tubes tied.

Adelaide - posted on 04/19/2011

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I was 26 when I had my third child. Because my pregnancies, I did not want to have another child. I was a little afraid and my doctor did try to talk me out of it. I told her I would not be able to handle another pregnancy. I had the same feelings you have...if I want another baby down the road I can adopt, but by then, I could very well be a grandma! I am now 29 and I have no regrets with having my tubes tied.

Mel - posted on 04/19/2011

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my cousin and her husband wanted another baby when they both had teenage kids she had 2 he had 5 and they got married about 10 years ago now as they both had kids from prior relationship, and they both had to get it reversed to have anotehr baby and they had a little boy whose now 6 so I guess for some people you change your mind, others are dead set

Rose - posted on 04/19/2011

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I am 36 and debating on having a child with my new husband. i have 2 already 17yrs and 13yrs. I never go tied but it is reversible, as is when a man does it, not many will. It is all about what you two want.

Lacye - posted on 04/19/2011

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I think it is a good idea. You are old enough to make your own decision. BTW, since you are due in October, have the baby on my birthday, which is October 3. LOL

[deleted account]

My doctor was pretty cool about it. It helped that he didn't work for one of the many Catholic hospitals around here. He just gave me a thorough education on it and reminded me several times that it wasn't permanent. He was also concerned that I was doing it to avoid having a baby with my abusive then-husband. Doc said very kindly that my husband wasn't the only man in teh world and what would I do if we divorced adn I met someone who really wanted children. I thought about it a good while and said, "Then I'm not the woman for him." The funny part was the day at the surgical center. My mom came with me. She had hers done right after having me and I wanted her there in case I got emotional afterwards. The doctor came in and again just wanted to verify that I knew it was permanent and was I sure. Yes, I said. The assistant surgeon came in (another man) and asked the same questions in a bit more concerned tone. Again I repeated my answer of YES. The anesthesiologist came in (oh yes, another man) and asked what I was having done. I told him I was getting spayed. he looked at me oddly and said, "a tubal ligation." Yes Sir! He spoke to me a good five minutes on the permanence of the surgery, etc., etc., till my mother started to get angry. Then the nurses all came in (all women) and asked, "What are you in for today?" I told them and they all (virtually in one voice) said, "Woohoo! Go Girl!" and each told me they had theirs done and loved it.

I laughed all the way to the OR after that.

[deleted account]

WOW! Some doctors are really different from others...I was stuck on getting my tubes tied after my first daughter...(I was 22) and my doctor..although against it said he would do it...Well...I had my daughter and decided to wait on the tubal ligation...I got the IUD which is good for 5 years...so..although not permanent...you have the option to remove it in case you decide down the line that you want to have another one! Overall it's your choice...In my personal opinion...If there is no chance of hubby getting a V...then maybe you should get temporary protection (like the IUD) I never understood why US women always had to go through the invasive procedures while the men could just sit back and relax! But...I'm stubborn that way..I would make him wear condoms! LOL! Just my thoughts! GOOD LUCK!

Amanda - posted on 04/19/2011

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I have two children (10 & 8) I am now 28 years old..I had my tubes snipped, clipped & burned ;) @ 20..after my 2nd child! My doc didn't want to do it but as I told him..If you want to pay for taking care of it then I'll have, I can't afford it!
He still didn't want to..he said to wait til I was 26. Nikki ( the nurse ) had me sign the papers ( you have a 30 period in which to change your mind) On the day of my surgery my doc asked why I was there & he went BANANA'S when I told him :) hahaha!!! It's your body honey, you decide!!!

Jessica - posted on 04/19/2011

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I had my tubes tied after my 3rd! I had my son natural and they did the procedure the next day. They make a small incision below the belly button, which ends up inside the belly button (so no visible scar). I wouldn't have a c section! The healing is much longer and the scar is visible!

Laura - posted on 04/19/2011

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I couldn't do it. I don't know why I just didn't feel comfortable enough to even discuss it. So my husband got a vasectomy. He did it on his lunch hour, it took 20 min and he went back to work.

I have heard horror stories about people who got tubals done and then had major hormonal issues because of it, early menopause and all that fun stuff. So I think you really need to research both options and come to the best decision.

By the way DH's snip only cost us $15 co-pay and insurance covered the rest.

Danielle - posted on 04/19/2011

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I had it done with my last C-section. That was close to five yrs ago. I DO regret it. My husband and I are looking into a reversal. Just make sure you have no doubt in your mind whatsoever if you decide to do it.

Shannon - posted on 04/19/2011

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I have had 2 natural births, 2 c-sections and the laproscopic tubal ligation. Because my husband and i had discussed the option of my becoming a SAHM after our last child we decided to get my tubes tied so that we could actually afford me staying at home, the reason i went with the surgery instead of him was because of our insurance, my deductible had been reached, plain and simple. It was cheaper for me to have the surgery because with the previous Dr visits and the delivery of our daughter my surgery cost a total of 125. She was born via c-section but because of the hospital i had her at i was unable to have my tubes tied at the same time (Catholic hospital) I had to schedule my TL for 6 weeks later. I was 29 at the time and my OB still tried to talk me out of it. You know when you feel complete, and if you feel that this child will complete you then by all means do what YOU feel is best for you. Good luck and God Bless :-)

Dana - posted on 04/19/2011

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Isn't that. lol I thought maybe I was just being sensitive because I'm pregnant and due in Oct. too.

Mrs. - posted on 04/19/2011

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Wow, that's a bit grim.

Anyway, I would wait at least...probably longer...6 months to have the surgery because, for some, it is not just a breeze to recover. It was not for me, the four times they operated on my reproductive organs. It depends on the body and the way you bounce back.

I would also recommend searching out some surgery sites online to see exactly what they do. I know I found one that show laparoscopic surgery on the reproductive organs awhile back. Might be a good idea to show you husband the site too....he might have second thoughts on the whole snip thing.

Frances - posted on 04/19/2011

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I would want to wait until the baby is several months old. What if he died of SIDS? Would you want another one?

Bonnie - posted on 04/19/2011

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"If it were up to me I would have my tubes tied in a heartbeat but I am only 26 and the doctor wont perform it until I am 30 because apparently I dont know what I want until that magic age *eyeroll*"

Loureen, that's kind of funny because to me 4 years doesn't even make that much of a difference and 30 is not even old. There are many people out there who don't start having kids until they are 30-35.

Caitlin, If you are going to have a C-section and you want to have your tubes tied, I would get it done at the same time. They you only have to recover once.

[deleted account]

I did mine in '08. Best decision I ever made. I was married to an abusive, childish man and this was the best way to protect myself. I have NO regrets.

Mel - posted on 04/19/2011

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I dont know about it as I would never have it done however, I think your in for a battle, another member on here recently was trying to ask about this and told me the doctor told her she had to wait til a certain age and was basically saying the same things she might decide she wants anoter baby in future so wouldnt do it. Just thought Id add that in, that you might have trouble with him trying to convince you otherwise

Caitlin - posted on 04/19/2011

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hmm.,. intersteing, and I hadn't thought about the recovery times honestly, which is why I was asking for experiences and advice about it. It all depends on the baby I guess, and I do see that it makes more sense to say "if i'm having a c-section, might as well get em both done at once". Time will tell in that case really, the first birth was hard, the second, not so much, but the baby was smaller, so the recovery was a lot easier on that one (the first was more than a month before I could even walk right).

I'll talk to the doc and see if he'll even DO the procedure on me either way, because of my age. I find that excuse to be so stupid though.. Really, I'll have 3 babies within 3 years of each other, I think i've made up my mind about having more.. (That and I really want my body back..)

Dana - posted on 04/18/2011

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Ah,yes, I probably should have mentioned I've had both a C-section and laparoscopic uterine surgery, where they removed half my uterus. The uterine surgery was a walk in the park compared to a C-section. I was moving around fine after it. Recovery was a breeze.

Mrs. - posted on 04/18/2011

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I had not had my tubes tied, but I have had 4 laparoscopic surgeries on my reproductive organs. I'm told it is a very similar surgery to the tubal one. It is no party and it does take quite a bit of time to recover...at least for me (and for others). It is especially rough after all you go through with giving birth.

I personally would never had a c-section just to get the procedure done. It is, however, your personal choice and I respect that. I'd just hate for you to go through a large amount of pain and recovery when it could be avoided.

Does your husband know that you will have to go through painful abdominal surgery to get it done? Does he know that getting the snip is even less painful these days than like 10-15 years ago. Apparently, they have some new technique. Even so, when my father had it done 21 years ago - it was 2 stitches. That's right, TWO stitches. Compared to either having a c-section or going through laparoscopic abdominal surgery shortly after you give birth - it seems like a small sacrifice.

You will have scaring too, with either abdominal procedure. My scars litter my stomach, they kind of look like deep stab wounds. Are you sure you want to volunteer for it?

It is totally your choice and I don't want to make you nervous about it. You will heal. Its just that if I didn't have to have had all my surgeries...there's no question - I would not have.

Dana - posted on 04/18/2011

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If you're only having a C-section because you want your tubes tied at the same time, I wouldn't do that. I'd have the baby vaginally and then have my tubes tied in the next couple of months.

And this is coming from someone who has had a C-section and who will (hopefully) have another one in the next 6 months. So, it's not that I'm anti-C-section. :)



And find out for sure if your doctor is willing to tie your tubes or not. I know many who refuse at your age. There's no point in going through with possible ideas if no doctor will do it.

Amber - posted on 04/18/2011

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I agree with those saying have a natural birth and then the less invasive surgery. I have nothing against a c-section; I just think that recovery would be harder on you. If the c-section is needed, then do it all at the same time.

On a side note, it really annoys me when OBs say that they don't want to perform the surgery because the woman is "too young". I wasn't aware that it was about what they wanted; silly me, I thought it was about the patient.

Jenny - posted on 04/18/2011

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Oh I didn't realiase the Csection would be a first time voluntary. In that case I would go Tara's route. I only had my second that way because I'd already had one and wanted to get it done at once.

Becky - posted on 04/18/2011

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Our third will be our last as well, and if I NEEDED a c-section, I would go ahead and have my tubes tied while they were in there. However, I definitely wouldn't put myself through a c-section just so I could get my tubes tied. Unless for some reason I need the c-section (unlikely, since I've had 2 quick, uncomplicated vaginal births, but you never know), dh will be getting the snip. He's the one who wants no more than 3 kids - I'd have more - so he can be the one to go through surgery!
I don't think it's a bad idea, I just don't think I'd subject myself to the unnecessary c-section to have it done. On the other hand, either way, it's major abdominal surgery and 6 weeks or so of recovery with a newborn, so if you want to get it done, that's probably the way to go.

Lady Heather - posted on 04/18/2011

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I don't think it's a big deal. Three kids is plenty enough for most people. My dad got the snip at 26 after 3 kids. He was hassled about it by the doctors. Pretty sure he's never regretted. it. I don't think I would have a c-section just for this reason. I'd make my husband get the snip. But the age thing I don't think is problem at all. I don't even get that. If you didn't have any kids at all it would make sense, but 3?

[deleted account]

Consider this opinion is from someone who has had no birth control for almost 6 years and no sex for over 3... lol



I do not think I would schedule a c-section birth for the sake of getting my tubes tied. IF you needed a c-section birth then I would say go ahead and tie the tubes (well, I wouldn't, but I'm not you).



Only you and your partner should be the ones to decide if going w/ the permanent option is the right choice. I will say that I would rather the man get the V (and that'll be one of the 'conditions' if I even think to get married again). You could always go w/ the no sex until you get snipped threat. lol



Good luck w/ your decision!!

Jenny - posted on 04/18/2011

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I had mine tied at 28 during my Csection with my second. It's an extra 5 min. on the surgery. Recovery was not a big deal for me, I was in my regular routine the next week hauling the kids to school and such.



I am very happy I made the decision. Having only 2 kids was important to me and if the urge struck again we'll adopt. I have never regretted it for a second.



I do regret not taking the whole damn uterus out though as I have 25 years of periods ahead of me. Now that I could do without.

Charlie - posted on 04/18/2011

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If it were up to me I would have my tubes tied in a heartbeat but I am only 26 and the doctor wont perform it until I am 30 because apparently I dont know what I want until that magic age *eyeroll*

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