Pros & Cons on Tubal vs Vasectomy

Updated on July 27, 2008
M.H. asks from Lynnwood, WA
15 answers

We are done having children and are in discussions about who should get it done. I was considering an IUD to give us some time to research and weigh all the pros and cons of a tubal and a vasectomy. However, I am now faced with having minor surgery and there is the option of getting a tubal done at the same time. My husband is going in for a consultation tomorrow and mine is in a few weeks. I am not sure I can wait that long since the need for the other surgery is pretty immediate. Still, I would love to hear from people about the pros and cons of each procedure.

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So What Happened?

Thank you to everyone for your helpful and insightful responses. My surgery is scheduled for next week and I wasn't able to co-ordinate it with a tubal which was probably for the best since my other procedure wasn't abdominal. The recovery time and restrictions would have been more with the tubal. Also, my husband had a consultation with a v-doctor and got his fears and concerns answered so he will most likely go through with it once I am fully recovered and we can make time for it. I am just amazed that he went from "NO WAY IN H***!" am I going to get a vasectomy to "Ok, this is something I can do" in a little less than a year! Thank you again for all your help!

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S.W.

answers from Eugene on

I have the same question and am responding so I can see responses! Sorry to do that to you - there must be a better way.....

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B.B.

answers from Portland on

A month after my last son was born I developed gall stones and a month after that was scheduled for surgery to remove my gall bladder.......like you, we were trying to figure out who should get "fixed" and since I had to go in anyway, we tried very hard to get everything coordinated with the 2 different docs so I could have both procedures at the same time, it's not "major surgery" anymore it's all done laproscopic (where they make tiny holes and stick a camera in. I could have gone back to work the next day if I'd have needed to.....for the gall bladder and the tubes I ended up with 4 tiny incisions that didn't even require stitches! Other than having a tiny baby to care for, my recovery was speedy and virtually pain free! Good luck with your decision. I don't know who your insurance is, but I have Kaiser Perm. and it was an "out patient" procedure and it only cost me $50!

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P.M.

answers from Portland on

I had a tubal almost 30 years ago, and have never regretted it. No problems, no aftereffects (I also combined mine with an abdominal surgery I had to have anyway).

While the notion of having one's husband take responsibility has its charms, I simply wanted to be sure that *I* would not ever become pregnant by any means. That security meant a great deal to me.

Good luck!

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A.L.

answers from Seattle on

A vasectomy for a man is not a major surgery like a tubal is for a woman. Plus you need to be caring for the new little one. Have him go in and do the vasectomy. Plus, you are the one that carried the babies and gave birth now it is his turn for the responsiblity of birth control.

I hope this helps.

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H.A.

answers from Portland on

Many years ago, my now-ex-husband and I decided we weren't going to have children. We went through this decision process, and determined that a vasectomy was the best choice. It's less-invasive, has less potential for complications, etc. etc. etc.

We split up, I remarried, and now have two lovely daughters. During my second pregnancy, I was faced with the same decision again, as two kids was our limit. This time I had the tubal... but only because I was having a caesarian delivery.

Even with the keyhole tubals they can do these days, there's just bigger risks when working deeply inside the body than at the surface.

Oh, and if your hubby does get the vasectomy, my ex- highly recommends ice packs the first day. He got the advice from his brother, and both men were up and about with minimal discomfort within 48 hours of the procedure.

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H.B.

answers from Seattle on

My husband had a vasectomy a couple months ago, and I think the recovery was easier than he expected. For the first day I babied him after we came home, put bags of frozen peas on his "area" (funny, but our kids kept wanting to open the bag and snack on them!) and brought him a special lunch in bed. He had it done on a Friday so he could rest over the weekend - we still ended up going to the zoo on Saturday and he was just fine - and then he was back at work on Monday. He went to a great little clinic that his doc recommended in Sand Point called The Vasectomy Clinic - creative, I know. There is a lot of good info on their website (www.drsnip.com) if you want to see what the procedure involves. They use a no-needle, no-scalpel process, and are very sensitive to most men's fears about the whole thing. I just think that overall it's so much less invasive and fewer risks for men, and we've carried the pregnancies and given birth and already ransacked our bodies in the process, so let them take a little for the team. :-)

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M.G.

answers from Seattle on

I had my tubal in 07, I have had rather irregular periods for well over a year now and quite a few other side effects. I regret getting mine ONLY because of these issues not because I desire more children. I would weigh the option carefully. I had my tubal done on a Thursday and by that Monday I was fine all the while caring for my two children ages 2 months and 3 years at the time. Do what is right for you both and in the end know you'll be happy with the decision no matter which way you go.

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T.K.

answers from Seattle on

Not from personal experience but from experience of friends - if you are going in for abdominal surgery anyway and you are ready to be done having children, then have the tubal done while you are there. A tubal for a woman is major abdominal surgery but if you are going to be recuperating already then why not "knock out two birds with one stone"?
It is usually easier for the man to have the vasectomy but each couple and person have different objectives and views.
If you decide to wait, then I recommend an IUD. I was on the pill for 16 years before we had our first and now I have an IUD and it is AWESOME!! I have the Mirena which is good for 5 years but can be removed to have another child or another procedure prior to. Light periods (if any) and no noticeable mood swings. Simple procedure I had done at 10 weeks postpartum. It had no ill effects that we know of for my son either through his nursing.
Don't let anyone pressure you into one decision or the other. Just know that you are ready for your decision.

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A.S.

answers from Eugene on

Vasectomy is a much much simpler procedure than tubal ligation, with much less risk, and is almost always reversible. If you're not sure yet, I'd use the ovulation method in the meantime.

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G.D.

answers from Seattle on

hello----i would say to have the tubal the same time as your other surgery. i had one years ago and had no trouble at all, nothing to fool with and what a relief! of course if your hubby wants to take care of this, that is nice too, since you had the kiddies and went thru lots!

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B.C.

answers from Seattle on

In our family, my husband was reluctant to "get fixed" but agreed I had too many complications in pregnancy to risk it again. But he had still heard "horror stories" about men having complications and didn't know if he wanted to risk it. It seemed silly to me because of the greater risk and time involved with the woman's tubal than with a vasectomy. However, because our insurance covered it (mostly), I decided it was not an issue and told him I'd do it, because I was the one that never wanted to risk getting pregnant again. I did this as a solo procedure and had no problems or complications. I remember having help for a couple days around the house though.

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S.M.

answers from Portland on

There is another option as well. There is a new product called Essure that provides the benefits of a tubal without the surgical aspects as they ustilize the bodies natural openings.

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J.N.

answers from Seattle on

Hi M.,
Last summer I gave birth to my 3rd child (2 boys, 1 girl) who was our *surprise* baby. I was 30. My husband & I decided that if I can give birth to 3 kids, he could do his part by getting "fixed" (as we have joked).
His proceedure took all of about 15-20 minutes at a great place in Bellingham. He did it on a Friday so he could relax all weekend as the doctor advised. By Monday he was back to work and all in all, it was a very smooth event.
My doctor said that it is much more invasive of a surgery for a woman and the recovery is much harder. You know how hard the recovery can be from having kids!
Good luck with whatever you decide and if you have any questions, feel free to contact me. :)

PS. The cost of a man to have the procedure done is about a quarter of the cost for a woman.

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S.P.

answers from Seattle on

I would say- Get the tubal on yourself if and only if they are in there already. I had a tubal in March of 06 right during/after my daughter was delivered by c-section. I have had zero problems (although I hate having my period and sort of miss the pill). I think as long as you are having surgery already and will have to go through the recovery anyway- go for it. If you were'nt already going to have surgery it should be up to him to have the vasectomy. The recovery and procedure are much easier on the man (but mentally it is h*** o* him). Good luck! I love being infertile! S.

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D.C.

answers from Portland on

M.,
We also have two children, ages 6 and 17 months, and my husband had a vasectomy last August. There was not really any question for either of us that when we decided we were finished having children, he would be the one to get the snip. We knew that I didn't want to be on BC pills for any extended period and I don't have any experience with any other forms of (female) BC. A tubal wasn't even an option for me. It sounds like you are in a bit of a different situation, though, with a pending ab surgery.

My husband's vasectomy was a simple procedure in the doctor's office--I even got to sit in there through the whole thing. He was out of commission for a few days, but he had it done on a Thursday and was able to go back to (very physical) work on Monday. He just had to remember to take it easy for about a week.

I have heard stories of women that have had tubals that end up getting them reversed because the hormonal challenges can be really huge. I would definitely ask your doctor about that.

Good luck with whatever you decide. I can tell you that it is so nice to be able to be "normal" and spontaneous and have no worry about getting pregnant.

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