5 Things to Consider Before Opting for Sterilization

You might feel sure that you don’t want to have any more children (or any at all), and you’re considering sterilization as a

If you have the number of kids that you want--whether that’s one or a dozen, you may be thinking that sterilization is the best method of contraception for you. Maybe you think that you never want to be pregnant or have any more children. 

Kelly Morales, MD, FACOG, and our caring team in San Antonio are here to inform you about all your options for contraception and family planning. While sterilization is one option, there are a variety of other choices available for safe and effective birth control.

Here are five things to consider before opting for sterilization as your final birth control choice. 

It’s a permanent choice

Sterilization is a permanent method of birth control. If you’re young, with or without children, you don’t know what lies ahead in your life. Life can take sudden twists and turns that you don’t anticipate. 

Will your choice not to have children or any more children remain the same 10 years from now? It may, but then again, it may not. If you change your mind at that point, you’ve foreclosed the ability to have biological children with your own eggs. 

It affects relationships and potential relationships

Sterilization is a serious choice that affects not only you, but also current and future partners. If your current partner wants more children in the future and you opt for sterilization now, you may have permanently changed the nature of your relationship. 

There are alternative long-term contraception methods

There are several good long-term contraception methods available today aside from sterilization. Long-acting reversible contraceptives (LARCs) are an excellent option for long-lasting, but not permanent, birth control. 

Two forms of IUDs and a contraceptive implant all provide worry-free birth control for significant periods of time. Here’s how long each LARCs device is effective for:

These long-term birth control methods are 20 times more effective than birth control pills and patches. If you decide in the future that you do want to get pregnant, Dr. Morales removes the device for you. 

It may involve surgery 

The surgical method of sterilization in women is tubal ligation, which means tying and cutting the fallopian tubes, sealing them with an electrical current, or closing them with clamps or clips. It’s an operation, so you’re going to be under general anesthesia in a hospital and spend time recovering. Surgery also involves certain risks. 

The other surgical method blocks your fallopian tubes completely. A metal insert is placed into the vagina with a catheter. Scar tissue develops around the metal to block the tubes. 

If you have a sterilization procedure and change your mind later, reversing it is expensive and difficult. It’s not an option if there isn’t enough of the fallopian tube left, and even if there is enough, the surgery often doesn’t have positive results. 

Partner sterilization 

Male sterilization has fewer risks than female sterilization, and it’s 100% effective. The American College of Obstetricians and Gynecologists recommends that when a partner is involved in a discussion about sterilization, male sterilization should also be brought up. Dr. Morales can help provide more information so that you can have an informed discussion with your partner. 


If you want to learn more about your options for short and long-term contraception, then call our San Antonio office today for all of your obstetric and gynecological needs.

You Might Also Enjoy...

Weighing the Benefits and Risks of Vaginal Childbirth

All babies enter the world through a vaginal birth or surgical delivery. Both methods share the same goal: a healthy baby and mother. So why choose to have vaginal childbirth? Here we look at the benefits and risks of this type of delivery.

Menstrual Problems in Teens: When to See a Doctor

Most girls experience irregular cycles when they first get their periods, but some teens go on to have significant menstrual problems. The challenge is knowing what’s normal and when it’s time to seek help. Keep reading to find out.

Five Common Signs of Endometriosis

If you’re suffering from heavy or painful periods and wonder if endometriosis might be the cause, you’re on the right track. Learn more about the signs of endometriosis, a condition that impacts about 10% of women.

When Do Menopause Symptoms Start?

Confused about when menopause symptoms begin and what to look for? Here’s what you need to know about the perimenopausal and menopausal symptoms some women experience — and when they occur.

How to Decide on the Best Contraception for You

Feeling overwhelmed by the many types of birth control available? If you’re struggling with which form of contraception is right for you, take a look at these key questions that will guide you to the best contraceptive for your lifestyle.

Five Interesting Facts About da Vinci Robotic Surgery

If you need surgery to treat a gynecological condition, the da Vinci robot-assisted surgery system offers many benefits over conventional surgery options. Take a moment to learn about this amazing technology and its benefits.