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Tubal Ligation Symptoms


Tubal ligation symptoms can be experienced by some women after having their tubes tied.

Most women will not experience a problem after tubal ligation but some will have abnormal side effects. There are no reliable statistics on what percentage of women will experience tubal ligation symptoms.

Most of our patients request tubal reversal surgery to restore fertility, but some request tubal surgery to be evaluated and treated for tubal ligation symptoms.

We treat a select group of patients. Over 90% of our patients who have tubal reversal as a treatment for tubal ligation symptoms will report improvement after having tubal reversal surgery.

Tubal ligation symptoms: What are they?

The most common symptoms after tubal ligation are heavier periods, increased cramping with periods, more bloating and, sometimes, pelvic discomfort.

Some women report more involved symptoms after tubal ligation; pelvic pain, weight gain, depression, bloating, and decreased sex drive.

Others report more extensive, generalized bodily symptoms and this constellation of systemic symptoms is often referred to as Post Tubal Ligation Syndrome (PTLS).

For more information on tubal ligation symptoms attributable to PTLS:
Post Tubal Ligation Syndrome Symptoms

The existence of Post Tubal Ligation Syndrome is extremely controversial and many health professionals are not supportive of the diagnosis. Health insurance companies do not recognize Post Tubal Ligation Syndrome as a valid diagnosis and will not reimburse patients for any procedures performed for a PTLS diagnosis.

For more information: PTLS: Why the controversy?

Tubal ligation side effects: Does tubal ligation cause problems?

Does tubal ligation cause problems? In our experience this can be a complicated question to answer. Most women who have a tubal ligation will not have any problems.

Some women who have problems after tubal ligation have problems which are associated with tubal ligation but not caused by tubal ligation. This can be a complicated concept to understand, so for more information: Tubal ligation problems: A helpful explanation

Some of our patients do have problems directly associated with their tubal ligation and many will report improvement after tubal reversal surgery.

Tubal ligation symptoms: Our recommendations

If you are experiencing problems related to your tubal ligation then we recommend you be evaluated by your doctor for other treatable medical or gynecological causes.

If your symptoms started soon after your tubal ligation (weeks to months) then the tubal ligation could have contributed to your symptoms or it is equally possible the tubal ligation is not responsible.

If your symptoms started long after your tubal ligation (months to years) then it is less likely your tubal ligation is responsible.

Meet Dr. Monteith

As a surgeon my reputation & integrity are extremely important to me. I’ve been providing new choices & new beginnings since 2008. I’ve had the distinct privilege of being the first surgeon in the world to report successful pregnancy within the peer reviewed medical literature after reversal of transcervical hysteroscopic tubal sterilization. Permanent is not forever at my practice! HAVE QUESTIONS?

Tubal ligation symptoms: Should I have a reversal?

If you are experiencing tubal ligation symptoms then the first question you should ask yourself is do you want more children?

If you would like to have more children than having a tubal reversal is a reasonable first line consideration. Tubal reversal surgery will restore fertility, allow evaluation for causes of tubal ligation symptoms, and provide you with a possible treatment for tubal ligation symptoms.

If you are uncertain about having more children or don’t want to become pregnant then you should be evaluated for other possible causes of tubal ligation symptoms. If no other explanation can be found then you could consider tubal reversal for evaluation and possible treatment of tubal ligation symptoms.

Tubal ligation symptoms

If you are a patient and believe you are suffering from symptoms after tubal ligation then we encourage you to read our extensive blog serious about PTLS

More information: Pain After Having Tubes Tied: A Symptom of Post Tubal Ligation Syndrome?

You can also see the hundreds of comments and testimonials left by women who have successfully seen their symptoms disappear after tubal ligation reversal surgery.

More information: Patient feedback about tubal reversal and treatment of tubal ligation symptoms

If you are a physician, we encourage you to keep an open mind and review some of the information we have about our experience with tubal reversal surgery.

We have extensive experience with tubal surgery and evaluation of patients who report abnormal tubal ligation symptoms. We maintain a separate section of our website to provide more detailed information to health care professionals.

If you would like more information about tubal ligation symptoms tailored to health care professionals then please visit: For Physicians

Have Questions? We’re Happy To Help!

We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.

What Our Patients Are Saying

“We had our surgery on 3/18/15 and on 02/02/16 our 7 pound 11 oz baby girl was born! I’m 34 years old and had tubal ligation done via clamps 8 years prior so this surgery really does work! 8 years later I had the reversal and 9 years later we were blessed with our little girl! So many doctors tried to talk us out of it-wanted us to do IVF to get our money-however praise God we went with this because it does WORK! Dr M is amazing and his staff! The area is beautiful where his office is, and if you do this procedure it will be the best money you ever spend!”

– Charlee-Belle M., Surgery

“From the very first phone call, the staff at A Personal Choice has been amazing! They have answered our numerous questions, concerns and have been amazing. They never give you false hope, but give you the complete story. I am so happy that we chose Dr. Monteith and his staff to make our dreams a reality. Can’t wait to start trying to have a baby. I would and have recommended Dr. Monteith to ANYONE wanting a tubal ligation or vasectomy reversal. Thank you all so much for giving us this chance!”

– Angela W., Essure Reversal

“Excellent service overall! Each stage of the process was carefully explained in great detail: how the procedure works, what to expect during the procedure, what to expect after, possible side effects. Dr. Monteith himself is very knowledgeable and experienced and quite personable too. He has a great sense of humor and uses it generously to put patients at ease. I highly recommend him and his staff to anyone considering either a vasectomy or a vasectomy reversal.”

Chris B., Vasectomy Reversal

“The perfect little angel that I’m holding in my arms right now is the best testament to what Dr. Monteith and his staff do for people. We could not be happier with our decision to use Dr. Monteith. His staff are just amazing. Our entire experience was just a dream! Thank you, from the bottom of our hearts, thank you!”

Jamie B., Reversal of Cut & Tied Tubes


Ask The Doctor

Your questions about reversal surgery will be answered directly and promptly by Dr. Monteith. Please read our most frequently asked questions before submitting your questions. Dr. Monteith will not respond to general medical questions or if you are a patient of another doctor and are contacting him because your doctor is unavailable.* If you have been a patient at our reversal center and have specific questions about your medical care you should contact the reversal staff directly at (919) 977-5050.

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Have a Question? Drop Us A Line!

If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

Please view our most frequently asked questions before sending your questions.

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