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Fit To Be Tied

closedute“Do you want me to tie your tubes while I’m in there?” That was what my obstetrician asked me at my last appointment after we’d discussed my c-section. Mike and I looked at each other, totally unsure, and I’m pretty sure both of us stammered, “uhhhhhhh,” until my O.B. suggested we discuss it and let her know at our next appointment.

It’s funny, you would think I’d be all about having my tubes tied considering how adamant I am that I don’t want to be pregnant ever again, but I’m actually still on the fence. The thing that worries me the most is the possibility of experiencing complications like Post Tubal Ligation Syndrome (PTLS). Women with PTLS suffer all kinds of symptoms like irritability, irregular periods, memory loss, yeast infection-like itchiness, and a whole bunch of other not-fun-at-all stuff. I realize, of course, that the majority of women who get their tubes tied don’t end up with PTLS, but the possibility of it happening makes pulling the trigger on the surgery difficult.

When I told Mike my worry about the possibility of complications like PTLS, he mentioned that he had his own reservation, which was that he wasn’t crazy about doing something so final.

He said, “Even if there’s a 99% chance we’d never want to get pregnant again -”

“Make that 99.9% chance,” I interrupted.

“Fine. Even if there’s a 99.9% chance, do you really not want to have the option to change your mind?”

With all of the difficulties I have being pregnant (prematurity, miscarriage, hyperemesis, etc.), I think there is about as much chance of me changing my mind about not wanting to get pregnant again as there is that I’d change my mind about not wanting to sky dive (I think I’m more likely to sky dive than get pregnant again), but Mike says there’s no way to know definitively how we’ll feel in a few years. I suppose there is some truth to that (even if I didn’t tell Mike as much).

There are other options, of course, but female birth control isn’t a great one for me because of my blood clotting disorder. I’ve also discussed the “V” word with Mike, and his getting a vasectomy is definitely a (large) possibility even if he suddenly seems to have hearing loss whenever I mention it.

Thankfully, we’ve got a little bit of time before my c-section to discuss whether or not I should get my tubes tied. It’s definitely not a decision to be made lightly.

Of those of you who have had this surgery, is it something you would do again? How about those who opted not to? Did you find another way to make things work? I’d love any advice I can get!


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