Permanent Birth Control

Permanent Birth Control Specialist
When a patient’s family is complete, permanent birth control can provide peace of mind and convenience. As a urogynecologist and board-certified gynecologist, Ralph Mayer, MD provides permanent birth control options for patients in Beverly Hills, California. Women who are interested in permanent birth control should contact the office to schedule a private consultation.

Permanent Birth Control Q & A

Ralph Mayer, MD

What types of permanent birth control are available?

Permanent birth control procedures eliminate the possibility of pregnancy indefinitely. Two main types of permanent birth control are available for women: tubal ligation and fallopian tube occlusion (Essure).

What is tubal ligation?

During tubal ligation, Dr. Mayer closes the fallopian tubes surgically, thus preventing conception. He typically performs this surgery laparoscopically while the patient is under general anesthesia. Tubal ligation is effective immediately.

What is Essure or fallopian tube occlusion?

During fallopian tube occlusion, Dr. Mayer places a soft, small, flexible inserts in each fallopian tube. The body encircles the insert with scar tissue over a period of 3 months, which forms a natural barrier. Once this barrier is in place, sperm will be blocked from entering the fallopian tubes and unable to reach the eggs.

Unlike tubal ligation, fallopian tube occlusion doesn’t require general anesthesia or hospitalization. However, patients must use backup contraception until Dr. Mayer has confirmed that scar tissue is blocking the fallopian tubes completely.

What are the risks of permanent birth control?

Tubal ligation carries all the risks of any other surgery that requires general anesthesia. In rare cases, this surgery may also result in damage to nearby organs, infection, and pelvic pain. Some of the risks of fallopian tube occlusion include a failure of tubal blockage, infection, pelvic pain, and migration of the device outside of the fallopian tube.

Pregnancy following permanent birth control procedures is rare. However, if pregnancy does occur, it’s more likely to be ectopic.

Can the procedure be reversed?

In some cases, Dr. Mayer may be able to reverse a permanent birth control procedure. However, these reversals aren’t always successful. In some cases, permanent birth control may even interfere with in-vitro fertilization. For this reason, it’s important for women to be sure they don’t want any more children before having this procedure.

What are the alternatives?

For women who aren’t sure whether they want to have more children, other long-term birth control options are available. For example, intrauterine devices can prevent pregnancy for several years without eliminating the patient’s fertility entirely. Patients should discuss their options with their partner and with Dr. Mayer before making a final decision.

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