41 answers

Your Thoughts on Tubal Ligation Vs. Vasectomy Vs. Mirena?

Hey Mommas:
My husband and I are expecting our second little boy in two weeks and would like to have an effort-free birth control option afterward, since we don't plan on having any more children (although I'd like to adopt a third...still need to see what 2 will be like, though! :-). Since my delivery will be via a planned c-section (per my doctor: "no VBAC"), my husband thought that it would be a great time for me to get my "tubes tied" since they're in there already. I tend to agree that IF I got a tubal, then that would be the time. However, I am worried about whether they are easy to reverse, should I want to do that in the future?

Since my husband is also open to a vasectomy (which I believe is less invasive and/or easy to reverse?), I asked my OB's nurse about the pros and cons of those two options.

That's when she mentioned Mirena as an option. In fact, she was practically raving about how wonderful of an option it is. But, I know that I've seen some bad things from you Mamas about Mirena-related issues!!

Knowing that it might be just a few bad experiences among thousands of good experiences, I thought I would ask this question about your experiences (good or bad) with any of these BC options.

Thanks!!!

What can I do next?

Featured Answers

my mirena fell out after two months of solid bleeding. I know that's not supposed to happen, but it happened to me.

1 mom found this helpful

Hi D.,

Here are the link to the web site with the post tubal ligation syndrome hope it helps you to make an informative decision. I have opted out of tubal and am looking into something else. Spoke to a friend of mine who didn't do ANY research and has most of these symptoms.

http://www.tubal-reversal.net/post_tubal_ligation_syndrom...
http://retardedrugrat.wordpress.com/2006/06/14/post-tubal...
http://www.wdxcyber.com/nbleed9.htm
http://www.steadyhealth.com/post_tubal_ligation_syndrome_...
http://posttuballigationsyndrome.blogspot.com/
http://posttuballigationsyndrome.blogspot.com/ of all the links this is the most informative
http://womenshealth.about.com/cs/sterilization/a/steriliz...

I have been using Nuvaring for about 18 month. I haven't had any complications and Mirena seems to have quite a few.

More Answers

All of your choices are meant to be permanent. They can be reversed but the results are not gauranteed. The doctors tell you that you will not be able to have children again after the procedures. I think the easiest to reverse is the vasectomy according to my research. If you are already considering reversing them then they are not the options for you. Because you don't sound absolutely positive that you don't want anymore kids. You sound like you want a temporary solution in case you change your mind. I would highly consider another form of birth control that you can "reverse" or stop using and concieve. Consider your actions carefully as reversing these procedures doesn't guarantee that you will ever concieve again.
Good luck,
L.

1 mom found this helpful

my mirena fell out after two months of solid bleeding. I know that's not supposed to happen, but it happened to me.

1 mom found this helpful

Hi D.,

Here are the link to the web site with the post tubal ligation syndrome hope it helps you to make an informative decision. I have opted out of tubal and am looking into something else. Spoke to a friend of mine who didn't do ANY research and has most of these symptoms.

http://www.tubal-reversal.net/post_tubal_ligation_syndrom...
http://retardedrugrat.wordpress.com/2006/06/14/post-tubal...
http://www.wdxcyber.com/nbleed9.htm
http://www.steadyhealth.com/post_tubal_ligation_syndrome_...
http://posttuballigationsyndrome.blogspot.com/
http://posttuballigationsyndrome.blogspot.com/ of all the links this is the most informative
http://womenshealth.about.com/cs/sterilization/a/steriliz...

If you aren't 100% sure you don't want anymore children, I would NOT get your tubes tied or have dh get a vasectomy. They cannot always be reversed and insurance would not pay for it. I have heard a lot of women complain about problems with Mirena, specifically it getting displaced.

When/if you become sure you want a permanent option, I would opt for the vasectomy instead of the tubal. Some research I've done on tubal wasn't too positive. Vasectomy on the other hand seems to have hardly any side effects, long term. There is a risk of a persistent and recurrent ache in some men after the procedure though.

Congrats on your new little boy on the way. Two is definitley different and harder (at first) than one, but you get used to it!

I just had my second Mirena placed a couple weeks ago.I have had two negatives - it took a while for my body to adjust, so I had spotting for over a year. BUT, my body has always had a little trouble with hormones (finding the right Pill was a nightmare for me). The only other negative is not terribly bad - it was uncomfortable getting the seond one in (the one postpartum is not as uncomfortable) - discomfort getting it in, then cramping for a little while after, until the Advil took effect. But then after that - wonderful! Nothing to worry about for 5 years, and my periods are lighter than they ever were (kind of like spotting for 5 days). It takes one short visit to get it in, was covered under my insurance, and is completely reversible without surgery, which a vascectomy reversal would require (albeit it a brief surgery). I looked at the 10 year copper IUD too, but my doc said that with that I would have more period, more menstrual cramps. no thank you! In 5 years, I'll be back for my 3rd Mirena.

Well I had my tubes tied and it was not bad at all since I did have a c section also. If the Mirena is what I think it is that is what one of my friends used and she still got PG. I was told when I got my tubes tied that is was reversible but would not be an easy procedure to do. If your husband is open to the vasectomy I say go for it. But that's just my opinion.

Good luck and God bless you in what ever decision you make!

I have a Mirena that I now love. At first I hated it. Having it put it was a lot more painful than I was told it would be. I also had some bleeding for three months after that. I called my doctor asking if the bleeding was normal and was told some women bleed for up to six months after having it placed. I feel I was not well informed by my doctor. Now though I love it. I do not have a period and it is effort less. I do not have to remember to take a pill every day and it is good for up to five years. I am glad I got it

I don't believe that a Vasectomy is any easier to reverse than having your tubes tied. It is definitely less invasive. If you are even thinking that you might want to reversal of either you need to think of a different option. An IUD would probably be a better bet. I wouldn't attempt surgery that you want to reverse, because it might just not work.

Look into non surgical and but no maintenance forms of birth control.

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