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

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.

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

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After my daughter was born (#3) my dh and I decided that we weren't going ot have any more kids. My last pregnancy was very difficult. I was all ready to get my tubes tied, but after my daughter was born, there were no OR's available for the procedure. We planned to do it 6 weeks later. Long story longer, :) DH decided that he would get the V instead of me having to go through an invasive procedure. He was sore for a few days, but no other side effects, very easy. AFTER all that I read a thread on here regarding tubals and how they can cause major problems - extra heavy bleeding, terrible cramps, nausea - and I had NO IDEA. Many women responded with the above issues.
I would say get the IUD first just to see how you do because you can always take that out. You can't fix problems related to a tubal.

HTH
L.

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 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.

Hello D.,

There are over 60 different types of BC out there. Please just don't limit yourself to the Mirena. Doctors office push a product on me because of the Rep that handles the product plus the office receives more money from your insurance company with the placement of the Mirena. A tubal just depending on the doctor, he cuts, ties and burns your tubes and no there will never be a chance of your ever getting pregnant again. A vasectomy is premant also. The doctor can reverse a vasectomy BUT the long you wait to do so, the lesser the chances are of you getting pregnant again. Good luck in your search.

A couple of questions to ask on the tubal ligation is 1.)whether it is reversible and 2.)how will TL impact your monthly cycle. My TL isn't/wasn't reversible and my cycle was very painful and heavy. The dr. did mention a little something about this but I didn't really investigate it. I wish I had. I ended up having an endometrail oblation a few years after the TL because of iron issues.

Ligation and Vasectomies should be considered permanent. After doing some research about he Mirena I opted to forget it. With a ligation you can still get pregnant, I don't know how often it occurs but because your egg can't make it through your tube you end up with an ectopic pregnancy again something that was not worth the risk to me. My husband had a Vasectomy last November. He had some complications the first couple of weeks, when the doctor numbed him he hit a nerve and then one of the incisions became infected. He was a BIIIIIGGGGG baby and that nearly killed me. For me I had 4 kids only one with an epidural, and only then because they thought they were going to have to cut her out of me. I figured he dang well be able to take one for the team. Depending on how the Doctor bills if you have insurance the you may only have to pay your office copay, our Dr. billed as an out patient procedure and we had already met all of out deductibles for the year so it didn't cost us a penny. Even though My husbands experience wasn't a walk in the park in no ways does he regret it.

Hi D.! I have been in your position and know how you are feeling! I opted to have the Mirena and i love it! no more worries and no pills! it is a little uncomfortable when it is inserted, but the cramping goes away with some Advil! I was excited about the no periods, but my body likes the whole menstruation thing, so 1 year later and I still spot every month, but no more heavy periods! My doctor also warned me that one of the side effects was ovarian cysts, but informed me that they usually do not cause problems and they resolve themselves within a year! so good luck to you! hopefully this has been somewhat helpful! congratulations on a healthy prgenancy!
jess

I agree with some of the others. If you are not 100% sure you are done, then don't do the tubes or vasectomy. Mirena (although I have not used) is completely reversable. The likelyhood of the others to be reversed is a lot more difficult...if not impossible. So...I'd wait. If you do decide that you are done, then I would suggest the tubes if you are having a c-section. My OB said that they recommend vasectomies with people that have a vaginal birth and tubal ligation with those having c-sections. Hope that helps! Good look to you and Congrats on the soon-to-be new arrival!

You don't mention how old you are, because if you're still relatively young and you're not 100% sure you're done having children, then I would suggest you choose something less permanent. Neither tubal ligation or vasectomy are easy to reverse.

We had decided on only two, but at the age of 37 I had a change of heart which ultimately my husband (age 40) supported so we welcomed child #3 in 2007. But I opted against getting my tubes tied at that time, even though I knew I wouldn't be having any more children -- it was a mental thing, like I felt I would be less of a women if my child bearing ability was gone. So my husband got the vasectomy which is a simpler procedure anyway and caused him some pain/discomfort for only a couple of days.

Hi D.. I wish you the best in making the decision. You are on the right track by investigating and asking questions about what's best. Unfortunately, I didn't ask any questions prior to my tubal, just wanted it done 'cause it was convenient since I too had c-sections. I had no complications from the tubal or the surgery, BUT in the last 4 or 5 years (tubal was 6 1/2 years ago) I have noticed many different changes in my body and with my cycle that are unexplainable (in my opinion). For several years I attributed it to getting older, but...I'm only 33, not old enough to be having the problems that I'm having....so I have begun doing a little bit of research myself and have discovered something called PTLS (Post Tubal Ligation Sydrome). As you're doing your research, do a search on this term and read a bit about what many other women are experiencing after tubal ligations.....it may be that you and your husband will choose another alternative, as I'm sure you and he want you to be a healthy MOM. Blessings to you and yours and peace be unto you during your research! Happy Baby To Y'all!!!!

D.,
Honestly, I don't think you are ready to have your tubes tied or your husband have a vasectomy. If the question of reversal is in your head don't do it. I had my tubes tied after my 3rd child and wish now I didn't. I was think economics, we had 2 kid already and 3 counting my step-son, so 4 was plenty in my mind. There is a big split between them, last one was a surprise 9 year gap. Anyway, I kept asking my husband, he said it was my choice and I did it... I wish I wouldn't to this day, I could have had one more so our baby would have a sibling close to him in age. I've thought of the reversal, but it's expensive...
What I'm trying to say, in my opinion reading your question, you are not ready for one. I'd try some other form of birth control.
God Bless!

Go to Mirena's website and read the research on it. I was on an ad research panel for them and have a lot of education on it. I would go with it if I could after my baby is born however I have had fibroids and ovarian cysts (from PCOS) and that puts me out as a candidate. The awesome thing about Mirena is that it's completely reversible without the expense of surgery and you don't sound as though either one of you is totally committed to being done having children. It gives you 5 years of time to research and decide what you want to do. Reversals are possible, I have a friend that is having her second reversal baby (her oldest are 15, 13 & 10 the 1st reversal baby is about 2 1/2) but it's another surgery expense. And after the reversal then you have to decide if you want to go through the ligation or vascetomy again.

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 had the Mirena IUD after the birth of my second for the exact same reason. I liked it until I got pregnant while on it! I would ask lots of questions about what happens if you got pregnant. It was very traumatic for us...luckily we are well into our pregnancy problem free but having the iud made our risk of miscarriage 50-55% because I had to have it removed. If you leave it in, it increases your risk of second trimester still birth to about 60%. I never thought I would get pregnant on this thing and it really sucked! I wish I would have just taken the pill....then if you get pregnant, you quit taking the pill! I agree you should rethink the tubal or vascectomy because they are not that easy to reverse! Good luck in your decision!

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!

Hello D.,
One thing I ask.....if you don't "plan" on conceiving more children, why are you concerned about a reversal? If you are not totally certain about future children, maybe you should consider another form of birth control. I have not heard about Mirena, so I can't say anything about it. I can tell you from experience, before my 4th child was born, my husband had a vasectomy and about 6-8 weeks after her birth, I had a Tubal. Another concern of your doctor's might be your age and how many more years you have for childbearing. My doctor did not hesitate with my procedure, because at 24, I was having my 4th baby and we were certain that we were not going to have anymore children.

I guess your decision should be if you really do want to have more children....if so, let nature take its course.

If you are not planning to have any more children ... my first reaction is to tell you to get your tubes tied. COST SAVINGS and convenience are the key factors here - get your tubes tied after you deliver your baby via c-section. The docs are already there, anesthesia is already covered, the hospital OR is covered - it would be the most cost effective thing to do. And, your recovery is the same.

I delivered my 2nd baby via c-section (also because my doc did not recommend VBAC) and had my tubes tied then. No problems at all :)

Good luck!

Well, I can't really help you with the tubal/vasectomy issue, but I can tell you some things about my Mirena experience! My doctor really pushed me to get the IUD also....looking back I wonder if the doctors are getting a kickback for recommending them?! Anyway, I've had it in for two years and have had many health problems since. I have developed migraines that incapacitate me for days on end. I have horrible night sweats, wild weight swings...the list goes on. Anyway, I never had any of these problems before, so I'm starting to think that the IUD is to blame! Certainly research your options heavily before you proceed with this!

Hi D.!
If you aren't certain that you will be done having children...do mirena! I was on mirena for a year and a half before deciding to have number 3. (I got pregnant 2 weeks after getting it taken out...so if that is a concern..)I really liked mirena. I had no side effects. It was great!

Now that we are done, my husband had a vasectomy. It was alot of pain for him and we looked up pictures online to make sure his swelling was normal. The pictures from a reversal are horrible.

I say mirena...it can stay in for 5 years while you decide if you are done! Good Luck!

My tubal was painless and easy I had it 3wks after giving birth to my son I was 24yrs old when I did it and my decison was made and my doctor respected my wishes. I have 2kids and there are times I get a bit sad but i'm overall really glad I decided to do it.

Since your having a C-Section anyway and the doc will be looking at your tubes anyway I say just get it done, you will have down time from the birth regardless the Tubal wont add to anything

My thoughts are that Mirena is the least invasive and the easiest to reverse.

I had a tubal with my second son (C-Section) if you do that you need to be 110% positive that you do not want to have any more children. You can have it reversed, but you run a really high risk of having a tubal pregnancy and a higher rate or miscarrage. When I had mine done my husband and I were sure that we didnt want any more kids and now there are times that I regret it...Good luck with your decision and make sure you and your husband are in complete agreement!!!

I've had Mirena for over 2 years and love it. No problems, and the benefit of no periods either. AND if I want another baby it's the easiest option to "reverse". I also had c-section and my doctor offered to do a tubal during. I said I didn't think I wanted more kids but I was afraid to commit to something permanent. Mirena is a great option. It's good for 5 years and you MOST LIKELY will not have any problems. If you do, have it removed.

I have heard that C-section recovery is harder if you have your tubes tied. I don't really understand why, but I have heard it. Also, most doctors will tell you vasectomy is much easier and cheaper than tubals.

I had these options and my husband had the V. I had three kids, I felt he could handle something. And he did without any issues, as I am sure do most men.

I have heard too many negative things with Mirena. Plus, for me it was: Why pick an option that has all these potential issues when there is a choice that doesnt.

GL with whatever you decide!

I am just an outsider reading your question… but I t sounds like you are not ready for a permanent solution! Why don’t you try an IUD, I have personally heard that Mirena causes ovarian cists… my co-workers daughter had a grapefruit sized one on her ovary due do the Mirena.

Congratulations on your new baby boy… maybe worry about this when you are ready to make a final decision.

Good Luck!
E.

I really don't know about any of these but essure is a new procedure you might check into as well.

I had my tubes tied after my c-section - I have no regrets because I was and am still 100% sure that our family is complete. That being said, the tubal and vasectomy are not for you. It is supposed to be considered a permanent birth control - yes it can be reversed but it is not easy nor cheap and can be difficult to conceive after the tubal. You don't sound like you are in a place where you are sure you are done so you need to stick with a temporary BC. I don't know anything about the Mirena though. I know there are many others who will help you with that one. Sounds like you don't have much time to make the decision (as far as the tubal) so don't do it with the doubts you are having.

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

I've had my Mirena for over a year now LOVE, LOVE, LOVE it. I have 3 friends who have it also & feel the same way I do.

yes you can reverse a vasectomy and have another one. my second boy is proof of it. but it all depends on lots of factors. yes you can reverse a t.l., but again it depends on factors. if you aren't completely sure, go with another option until you are sure. it would be very expensive and not guaranteed to reverse either of them.

You don't sound ready to have the tubal or the vasectomy - you need to think of them as PERMENANT!!! IF there is a chance you may want another baby - you should try the mirena - it is long term birth control - some women do great with it, some don't.

I had an emergency c/s with my third child - my husband was already scheduled for the vasectomy at that point - but I opted to have my tubes tied since it didn't change my recovery status and they were in there already!

I will add that my periods after that did become heavier (and heavier) which can happen after a c/s and after a tubal ligation - one of the things they don't tell you about! Many women don't experience it! I did go on to have an endometrial ablation and don't have periods at all now!

Please don't go into a tubal/vasectomy with the mindset of reversing it - use another method of b.c. until you are certain you are done having children!

I KNEW we were done - but it I still had times I was sad after my tubal - I knew 100% though that my family was complete and that part of me would just always "want" a baby...that is why I went ahead and did it - when you know, you know - and it sounds to me like you are still too uncertain!!!!