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Permanent Sterilization

Surgical sterilization is a safe, highly effective, permanent, and convenient form of contraception.

There are two types of Female Sterilization: Tubal Ligation, a one-time outpatient surgery to cut or tie the fallopian tubes, or placement of the Essure, spring-like coils inserted into the fallopian tubes through the vagina.

Sterilization is a major decision; it means that a woman and her partner do not want children at any time in the future. A woman's decision to undergo sterilization must be voluntary and not forced by her family, partner, or healthcare provider.

There may be up to a few months delay between your request for surgery and the day it is performed. You may want to consider other birth control methods in the meantime.

Tubal Ligation

Tubal Ligation, commonly called "getting your tubes tied," is a surgical sterilization technique for women. This procedure closes the fallopian tubes, and stops the egg from traveling to the uterus from the ovary. It also prevents sperm from reaching the fallopian tube to fertilize an egg. A tubal ligation is typically performed using a laparoscope, through a small incision in your belly button. It can also be performed after delivery via C-section. When a tubal ligation is performed after a C-section, it does not require laparoscopy. All forms of tubal ligation require either burning, cutting, clamping or tying the mid section of your fallopian tubes. The surgery is effective immediately. Tubal ligations are 99.5% effective as birth control. They do not protect against sexually transmitted infections, including HIV/AIDS.

Tubal Ligation is a relatively simple out-patient surgery. This surgery is usually done in an ambulatory surgery center and is performed under general anesthesia. This procedure usually requires 1 week of decreased activity for recovery. 


Evergreen Women's Health Center now offers the Essure permanent sterilization procedure. Because Essure does not involve cutting or burning, it can be performed in the comfort of our office without general anesthesia. Instead this procedure uses a few prescription medications and local anesthesia. The appointment usually takes about 90 minutes and most women are able to resume their normal activities within one day of the procedure.

During the Essure procedure, two small flexible micro-inserts are positioned in the fallopian tubes by going through your vagina, cervix and uterus using a hysteroscope. In the 3 months following the procedure, the micro-inserts will cause your body to create a natural barrier that prevents sperm from reaching the egg.  During this time, another form of birth control is required. After 3 months, your physician will send you for a test called a hysterosalpingogram (HSG), to confirm that the fallopian tubes are fully blocked. The Essure procedure is 99.74% effective based on 5 years of follow-up, with zero pregnancies reported in clinical trials.

While Essure is a relatively easy procedure to undergo, please remember that it is a serious decision. Essure is permanent and it is not reversible. 

If your family is complete and you are interested in permanent sterilization, we invite you to make an appointment to discuss your options with your physician.

Make An Appointment

Call (425) 285-0060

Virtual visits are available for some appointments.

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