Age and Tubal Ligation

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Age and Tubal Ligation

Question:

I am 23, and have a 5-year-old. My doctor says I can't have a tubal ligation because I'm "not old enough." Is there really a law that states a woman has to be a certain age to do this?

Answer:

No. A woman of legal age has the right to choose the best method of contraception for herself. There is no law to prevent a 23-year-old from having a tubal ligation. However, it is her doctor's responsibility to be sure she has been properly counseled so she is able to make the best decision she can. She must understand the risks of the procedure and the alternatives that are available.

Tubal ligation is a permanent form of birth control. Tubal ligation blocks the fallopian tubes. This prevents the egg from moving from the ovary to the uterus, and this prevents pregnancy.

There are several ways to block the tubes. They can be cut, clipped, banded, or cauterized. It is important to understand that the blockage is meant to be permanent. Procedures can try to reverse tubal ligation but they are expensive and have a low rate of success.

Studies of women who have had tubal ligation show that about 12% later regret the decision. Regret is particularly high when the procedure is performed in younger woman. One analysis showed that 40% of women who were aged 18 to 24 at the time of tubal ligation later regretted having had the procedure.

Women often choose tubal ligation because it is a very reliable and convenient form of birth control. Another method that shares these advantages but is reversible is the intrauterine device (IUD). It is an option that should be considered, especially in younger women.

Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.

Last updated:	July 20, 2009