Friendly Debates with the Danielles: Tubal Ligation vs Vasectomy

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Welcome to Week 29 of Friendly Debates With The Danielles!

Happenings of the Harper Household

Each Sunday evening Danielle from “We Don’t Have It All Together, But Together We Have It All” and I will host this awesome meme and we would love for you to link up and join us. There will be a question each week that will require you to think about how you feel about a certain topic and to decide where you stand regarding that topic, then of course share those thoughts!

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Vasectomy vs Tubal Ligation: Yay or Nay? What do YOU say?


Ok…. so I am approaching this topic in the mind set that we – Dustin and I – have completely 110% agreed that we are done having children and that we are 110% certain we want to make this decision permanent with permanent birth control.  And so if we were to take this huge step I say that we would go with the vasectomy, but it is not just because I am a woman.

There is a huge difference in the way each procedure is performed and the risks involved which I would like to explain in a bit more detail below.

Tubal Ligation:  A surgical procedure in which a woman’s fallopian tubes are blocked, tied or cut.  Since this is a surgery general anesthesia is typically used though a regional anesthesia (epidural) can also be used.  And so the woman needs to be aware of all risks associated with anesthesia.  There are also other risks to be aware of which include infection, wound separation, heavy blood loss, organ injury during surgery, or the need for a larger incision during surgery. Recovery time is typically about a week, but can be longer.  Also no back up birth control method is needed as a tubal ligation is effective immediately.


Vasectomy:   A procedure that typically takes twenty to thirty minutes in a doctor’s office or clinic.  During the vasectomy a man’s testicles and scrotum are cleaned with antiseptic and possibly shaved.  Each vas deferens is located by touch and a local anesthetic is injected into the area.  The doctor will then make one or two small incisions in the scrotum through with the two vas deferens are cut.  The ends of the vas deferens are then tied, stitched, or sealed.  The skin is then closed with dissolvable stitches which do not need to be removed.  The scrotum will be numb for roughly one to two hours vasectomyafter the procedure and recovery takes one to two days.  There are some risks to take into consideration even though general anesthesia is not being used which include bleeding under the skin, infection at incision site, sperm leaking into tissue surrounding the vas deferens which can create a sperm granuloma, as well as inflammation of the tubes that move the sperm from the testicles.  A back up method of birth control must be used until the sperm count reaches zero which is after roughly ten to twenty ejaculations and is typically checked at a follow up amount two months after the procedure.

Ok…. so yes there are risks involved with both procedures so why do I choose vasectomy over tubal ligation?  Because tubal ligation is a SURGERY in which general anesthesia is used which can result in death.  Plus there is a longer recovery time for a tubal ligation compared to a vasectomy.  And yes I will pull the I carried a baby for nine months and pushed it out of my body card! The least a man could do is a simple office procedure.

HOWEVER, with all that being sad…. while reading about these procedure in depth today I about had an anxiety attack.  I am not kidding you one little bit.  My hands were shaking.  My heart was pounding.  And I realized that there is no way that I could do something so permanent to my body or agree to having my husband have a vasectomy.  We have both said that once Baby Girl gets here our family will be complete and we don’t want any more children – but still there is always that .0000001% chance that we will change our mind and these are permanent procedures.  Reversals are not guaranteed to be effective in either procedure and in most cases health insurance will not cover a reversal.  All I know is this is not for me.  But if we reached a point that we knew for sure, without a doubt, 110% certain there would be no more children in our future than it would be the vasectomy.

So what are your thoughts?  Have you had a tubal ligation or a vasectomy?  Are you happy with your decision or do you regret it?  What would you choose for a permanent birth control method for your family?  Leave me a comment below or link up with our debate!  I’ll be honest… after Baby Girl gets here I am almost certain I will just be getting the Paragard IUD put in again for the time being, but nothing this permanent – no way.

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6 Responses to Friendly Debates with the Danielles: Tubal Ligation vs Vasectomy

  1. C Henderson says:

    I don’t believe while you are pregnant is a time to make a decision that affects the rest of your life. We did have a vasectomy for the reasons you stated above – surgery and recovery time – after our 4th child was born and we knew everyone was well and healthy. I might add that I was over 40 and we knew 110% for sure we were done having children..or at least we thought we were. We had decided if I had to have a c-section, we would do the tubal at the same time but these decisions were made after we decided “one more” and before we became pregnant. Oh, and about the comment “or we thought we were”…we became foster parents 2 years later and ended up adopting 2 beautiful little girls.

  2. Leslie Guenther says:

    We are struggling with this right now. We had hoped to have four children so when baby #3 had to be delivered via emergency c-section at 35 weeks I said no to tubes being tide. Now we are four months past and I still have blood clots in my arms and have had to have reconstruction surgery on my stomach and as of this week my original c-section incision has healed. Now the question comes of is it smart to try this again. Drs say no birth control due to my clots. I am allergic to latex so no condoms (TMI sorry). So now it is a no brainer on the Vasectomy but I am still not ready. Sorry I know you guys did not need to know all this but I agree that with the risk of surgery involved the vasectomy is the safest.

  3. Diva Locks says:

    I had a tubal and I would have preferred my hubby get the vasectomy for my own selfish reasons LOL but either way I haven’t looked back since. My tubes are capped off with plastic caps 🙂 no tying, or burning

  4. Christina Nadeau says:

    I had a tubal almost 6 years ago and would not recommend to any woman EVER!!!! I have had nothing but problems ever since. Immediately after my heart went haywire and I have now had to be on heart medication since the tubal. My periods have become so heavy it is scary that now they are talking about a complete hysterectomy. Please for those ladies that are contemplating it, PLEASE PLEASE PLEASE look up PTLS = post tubal ligation syndrome. There are things the doctors do not warn you about and I have now found AFTER the fact some doctors do not believe in PTLS after the fact. Do a search on facebook for the group and read the stories of these ladies that are suffering that all have the same symptoms which immediately appeared after their tubal. The group can be found here: Yes, I am very passionate about this as you can see. If I can help just one woman NOT experience what I have experienced I would be happy. I would have had an IUD for the rest of my life if only someone would have warned me!

  5. Either procedure totally freaks me out too, Danielle. I also know myself and that I could never *finally* for-absolutely-sure say that we were 110% DONE having kids, so we will never do anything that permanent.
    Also, knowing my husband, a vasectomy just ain’t happening. Ever. 😉

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