What Is It?
There are different tubal ligation techniques that can be used to complete a female sterilization procedure. Most of the time, it’s not a matter of one being better than the other, but a matter of what kind of tubal ligation procedure a given doctor was trained to know how to do. Over time, doctors tend to learn to prefer this method and that’s what they’ll stick with. The Pomeroy bilateral tubal ligation procedure was first described in 1930 by the doctor it was named for, Dr. Ralph Pomeroy. Today, most doctors have found their own techniques that they like to employ alongside the Pomeroy method, so they’ll refer to the surgery as the modified Pomeroy tubal ligation procedure.
Who Needs One?
The majority of the time, a woman who is planning on getting a Pomeroy tubal ligation has decided she doesn’t want to have any more children. The Centers for Disease Control and Prevention reports 25.1 percent of women who opt for using birth control do so with female sterilization methods like tubal ligation. The Pomeroy tubal ligation procedure is a safe and effective choice for women who have come to this place in their lives. Put into practice more than 80 years ago, the method has held its own in the face of many other tubal ligation options that have come to light in recent decades.
How Much Does It Cost?
The cost of the Pomeroy tubal ligation varies widely based on who performs it and where it is done. Some outpatient surgery centers and clinics may perform the surgery for as little as $6,000 while doctors who only perform the procedure at hospitals will charge far more — as high as $30,000, per Fertility Pro Registry. The additional costs incurred from having the surgery done in a hospital cover a wide range of things from lab work that the patient needs before going into surgery to their hospital stay that is required afterward. There are also costs involved during the procedure, such as extra nursing staff and the charges incurred by anesthesiology.
The cost of this procedure doesn’t matter much to most people unless they have to pay for it. Some, but not all, insurance companies will cover the entire cost of tubal ligation. So women and their partners should be prepared to bear some of the brunt of the cost, be it low or high. In some cases, the insurance company may require a co-insurance from the patient that is as much as 30 or 40 percent of the total cost of the procedure.
For couples who are stuck footing the bill entirely or in part, they can take advantage of payment plans the doctor’s office may offer or help from companies that extend credit to people who are in need of assistance in paying for medical bills. The best part about said credit companies is that they approve almost everyone and will lend money for both medically necessary and elective procedures. This comes in handy for couples who are seeking a tubal ligation, because it is considered an elective procedure by some insurance carriers.
When It’s Not Financial
Women who are interested in getting the Pomeroy tubal ligation procedure should also pay attention to costs incurred that don’t come from their wallet. In some cases, certain women will develop a condition following tubal ligation surgery known as Post Tubal Ligation Syndrome. This condition, often referred to as PTLS, can cause extreme cramping, breakthrough bleeding, a heavy sensation in the pelvis, backache, abrupt mood swings, anxiety, depression, headaches and more. It’s prevalent enough to consider taking into account when considering having it done.
Women should also consider the likelihood that they may later regret the procedure. Obviously, no one who goes into this procedure expects to want to undo it someday, but the fact that there are women lining up to have their tubal ligations reversed speaks to just how probable it is. Age may be one of the defining factors of what makes a woman more likely to end up regretting the procedure. A Collaborative Review of Sterilization study found that 20.3 percent of women who had tubal ligations before they were 30 ended up regretting it, as did 13 percent of those who had it over the age of 30, per Jezebel.
Women who undergo the procedure when they’re younger may have had several children and decided at a young age that child-rearing was more than they expected it would be to take on. This may lead them to believe they’re all set with having children for the rest of their lives. In your twenties, it can be really easy to assume you know who you’re going to be in your thirties. Then these women enter their thirties and even forties and feel remorseful that they can’t have any more children. It’s something to think about.