MYTHS & REALITIES Regarding Tubal Ligation / नसबंदी

Myth 1: “Sterilization makes women weak.”

Reality:

Absolutely false.

The surgery does not affect strength, stamina, calcium, or blood levels.

You can do all household work, office work, exercise, and normal activities

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Myth 2: “Periods will become very heavy or painful after tubal ligation.”

Reality:

Your periods stay exactly the same.

The uterus and ovaries are untouched — only the tubes are sealed.

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Myth 3: “Sterilization causes weight gain.”

Reality:

The surgery itself does NOT cause weight gain.

What sometimes happens is that after completing their family, many women finally get more rest, regular meals, and less stress compared to the years of repeated pregnancies and childcare.

Feeling relaxed after the fear of an unplanned pregnancy goes away can also improve appetite and routine.

So if weight increases, it is due to lifestyle changes, not the sterilization surgery.

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Myth 4: “Sex life will reduce or become painful after sterilization.”

Reality:

Sexual desire and comfort do not change.

In fact, many women feel more relaxed because they are no longer worried about pregnancy.

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Myth 5: “My husband will feel the clips inside during intercourse.”

Reality:

No. The clips are deep inside the abdomen, not in the vagina.

Nothing is felt during intercourse.

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Myth 6: “Sterilization is only for women. Men should not do vasectomy.”

Reality:

This is a common social belief, but medically:

Male vasectomy is simpler, safer, quicker, and easier than female sterilization with faster recovery. It doesn’t affect the male hormonal or sexual function unlike popular belief.

Many Indian families are unaware of this.

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Myth 7: “If I do sterilization, I will become ‘full stop’ woman and lose my femininity.”

Reality:

This is completely wrong.

Your hormones, body shape, and womanhood remain exactly the same.

Only your tubes are sealed, nothing else changes.

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Myth 8: “The tubes can reopen by themselves.”

Reality:

Extremely rare (less than 1%).

If pregnancy happens, it may be ectopic — so always test if you miss a period and visit your gynaecologist.

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Myth 9: “It will be difficult to breastfeed after sterilization.”

Reality:

No.

The surgery does not affect breastmilk production at all.

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Other commonly asked questions

1. Can tubal ligation be done after normal delivery or C-section?

Yes

Very commonly preferred:

• Immediately after normal delivery (mini-lap)
• During a C-section
• As a separate planned laparoscopic surgery later

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2. Is this surgery allowed under government schemes?

Yes.

Government hospitals offer free sterilization services under family planning programs.

Private hospitals usually charge standard surgical fees.

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3. Can it be reversed if I change my mind later?

Reversal is possible but difficult, expensive, and success is not guaranteed.

So choose this method only if your family is complete.

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8. Will I still get my periods every month?

Yes.

Your periods will come as usual.

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📍 Source: Dr. Shweta Mehta – DNB, Obstetrics & Gynaecology | United Multispeciality Hospital, Kandivali West, Mumbai.