I just had unprotected sex with my husband for the first time since my bilateral salpingectomy 2 weeks ago and now I feel panicky! Any reassurance from those who have had their bisalps, have been enjoying lots of unprotected sex since, and have continued to remain nice and UNpregnant?? We conceived our son LAST Halloween night and I can’t think of anything scarier than conceiving any additional babies this Halloween! No matter how cute my 3 month old son was in his Lion costume tonight! I know the bisalp can be trusted but it’s going to take me a little while to get used to unprotected sex without fear.

I’m 30F and making my insurance selections for next year. I’m planning on getting my tubes tied as early in 2025 as possible. I have a few questions.

1. I’m not currently seeing a primary care provider or going to a GYN regularly. Is this going to cause doctors to deny me for the procedure?

2. Should I expect a lot of out of pocket expenses? The procedure itself is 100% covered by insurance but I don’t want to have hundreds of dollars in out of pocket expenses leading up to the surgery, as money is pretty tight right now.

3. I read that some GYNs do an initial consultation and then schedule the surgery, is this a standard timeline?

4. Is it common for a doctor to technically do a bisalp but call it a tubal ligation for insurance purposes?

Context: I live in WA state and my insurance is Regence.

I can’t post the screen shot but I’ll write what it says. I just got a text saying that I am expected to pay the prepayment amount of $1860.85 when I check in for my bisalp surgery (11/14). I called Regence just now and asked them if my sterilization surgery was covered and gave them the CPT code I was given (58661). They looked up my specifc group (I’m in the PEBB group) and said that that code is the standard for sterilization and said it may be dependent on a diagnosis code which I told them I wasn’t given any other codes. They said it should still be covered and tell them that I can’t pay that but I can pay half or $200 but not the full amount.

I was told anesthesia was separate so I guess it’s possible that’s what that but is. In a previous post: https://www.reddit.com/r/sterilization/s/PTPV4Is5UG I talked about this same estimate issue.

When I go to MyChart (the one who texted me) this is what it says:

Total fees: $31,416 Hospital fees: $29,645 Physician fees: $1,771 Insurance covers: -$29,555

You pay: $1,860.85 (15% coinsurance apparently)

So is this already against my insurance? Do I still owe money? What am I supposed to do the day of surgery?

Hi friends! I got my bisalp yesterday and recovery been smooth sailing other than a sore throat and some exhaustion.

Today I noticed that my face is really hot, and my cheeks are pretty flushed. My temp is normal but I'm on ibuprofen and Tylenol. My incisions look good and it's only been a day so I don't think it's an infection.

Did anyone else experience an almost hot flash type sensation after your surgery? How long did it last?

Hey guys!

I had my surgery on the 21st and it’s been quite a rough recovery.

I’ve started to develop what feels like a strong burning pain in my stomach area. Almost like extreme heartburn but lower. I’m not quite sure what to do to help relieve this or if it’s even normal at all?

I’ve reached out to my doctor several times regarding my recovery and she just keeps telling me to take ibuprofen and then prescribed me some zofran.

I’m struggling and today is supposed to be my second day back at work but I am in so much pain!

Hi everyone. I’m about a week post op from a bisalp now and I’ve started to have some really bad pain in my pelvic area. Like so bad I’ve almost passed out twice, and woke up gagging into the toilet (I was sure I was going to puke). I’ve started bleeding again just a little too. Best way I can describe it is it feels like period cramps but specifically in the areas they operated in (especially the right side) except 100 times worse. I had my post op yesterday before it got this bad and I was having a small bit of cramp-like feelings and when I mentioned it my doctor thought it was gas related. It still could be? But would it really be this bad? For the most part I’ve been able to poop and pass gas regularly. I’m going to call my doctor but my office doesn’t open for a bit so I’m on here for now seeing if anyone else had this experience. Only thing that helped yesterday was taking the harder pain meds they gave me. I’m also sweating a lot and have chills. Just wondering if anyone else experienced this and had any insight.

Update: I went to the ER. Feeling a little better after the drugs they gave me and still waiting on cat scan results.

Update 2: After 8 hours in the ER… turns out there’s some sort of fluid that’s causing the pain. They think it’s either an infection or blood. I’m just relieved to have some kind of answer. Thank you all for urging me to go in. I’ll be calling my OBGYN about it tomorrow and picking up some meds.

My surgeon says there's no problem if I take painkillers during the days before my bisalp. However, I keep reading online that they should be avoided at least a week before surgery. I've been experiencing very intense back pains recently and my surgery is in less than 2 weeks. Confused about what to do now. I surely don't wanna mess up my healing but the back pain is really getting to me.

I really want some feedback from people who have gone through the process of trying to get sterilized or did because I'm losing my mind with anxiety. I have literally never posted on reddit so I hope this is ok.

I'm a 21 year old non-binary person who's trying to get a uterine ablation and a tubal ligation.

I have no kids and no romantic relationship and I understand that women with full families in their 40s often still face issues getting sterilized. But because I know that I decided I wanted to start trying at 21 to get approval since it may take forever.

Here's my current issue, after like 9 appointments at a new gyno I had a bunch of tests done and they found no reason for my excessive pain or bleeding during my period. I'm getting a pap done on Friday and then my surgery consult on the 8th. Literally no one in the office has said anything about my possibility of getting approved positive or negative. I did get walked through the paperwork I'll have to sign if I get approval for insurance and that felt promising. The ladies at the office are all extremely nice and told me the surgeon is understanding and very good to work with. I haven't spoken to the surgeon cause I haven't had an appointment with him yet so my brain is saying I'll walk in and he will laugh in my face and tell me no way get out. I tried to subtly ask the doctor if she thinks he will say yes and she said she can't speak for him but he's very understanding.

Am I wrong for feeling like I might get approval? I have no idea if this is a normal process, is my surgery consult appointment a good thing?

I was planning to go into this experience knowing that I will most likely get denied for years and I need to stay strong but now im conflicted.

If this matters the case I gave for myself is pretty much:

Personal-

I haven't wanted kids since I was old enough to understand the responsibility of them.

I am working to get my bachelor's in social work I have no plans for a child in my future and my work will not make me want to bring a child into this world considering what I will need to deal with.

I'm non-binary I do not want to have my period or the option of kids biologically.

I do not want any form of temporary birth control like an IUD or a shot or pills I want non of it because I'm not trying to avoid pregnancy for a certain amount of time. There was also an issue with my birth control I wasn't aware of till recently that has scared me off of wanting to continue taking it.

The state of the world.

Physically-

Im diagnosed with OCD and ADHD and I don't wish those things on anyone especially as a pair.

I have a genetic thing that runs on my father's side and has killed like five of my aunt and uncles and cousins before they could reach the age of 13.

I have a debilitating periods bloating, headaches, bleeding in excess, cramps, back pain, depression like I don't get out of bed and just rot for my periods duration. I started taking constant birth control 2 years ago (skipping sugar pills) to have no periods but I don't want to do that forever. (I also discovered my PCP was doing something called off labeling and because of that I had a cancer scare so I want to stop the birth control without having to be in pain from my period)

I completely understand these things don't mean someone shouldn't or can't be a parent but these are my reasons for wanting this procedure. I have even had people say these things help my case for why I should be a parent for some reason but I am very adamant on my stance.

They went in laparoscopically. I have the three usual incisions, belly button and two bikini line punctures. I kind of always thought I had endometriosis but it was never diagnosed. I was surprised but not surprised at the same time he found it. So got the bisalp and was told can return to work in about 4 days or so when I felt better. I have had 5 days off and I’m still in a lot of pain. The pain is not from the gas pain going up into the shoulders it’s now pelvic pain. I read somewhere endometriosis pain can get worse before it got better. I, like a complete idiot, lifted a case of water and put it on a shelf. I’m post op day 5. Was doing better, then I did that. Now I’m cramping a lot and having pelvic pain (the lower lower back type). It feels like pressure. Shoots down my right leg here and there. If you have endo you know the pain I’m describing most likely.

I flushed my oxy down the toilet yesterday(I know I know you aren’t supposed to do that LOL) but I did it because I’m sober and didn’t want to risk using it when not needed. So anyways wish I had one right about now. I have a heating pad on me front and back. I have to call out tomorrow and the next day. So I work 12 hour days. I don’t think I could make it that long. I feel SO guilty for calling out. I have fmla thank god but I still feel horrible. Part of me thinks I should be fine by now I’m usually really tough. I know I’m not milking it out but I don’t want others to think that. I just feel like I should be doing better but I’m not. What are your experiences and have you felt this way too in your recovery post bisalp and endo combo?

Hi all! I’m currently looking to enroll in a health insurance plan through the marketplace and am doing so specifically with the goal of getting a bisalp that’s ideally covered.

I’ve tried calling different insurance companies to see if they’ll cover a bisalp as a preventative care service but haven’t had any luck with getting an actual answer.

I was wondering if anyone who has had a recent bisalp that was covered by your insurance could share the insurance you used/recommend and if you needed to do any sort of appeal process?

I’m feeling rather lost and confused with regard to navigating insurance so I truly appreciate any help or advice anyone can offer! And I’m so happy for anyone who has been able to get this procedure performed and hope to be able to join y’all soon!

Emotionally, financially, timewise, and values-wise, getting a bisalp would work perfectly for me right now. I've already taken the first steps and set the wheels in gear.

However, is it worth putting my body through surgery at my age when my risk of pregnancy is low and decreasing? I know this is only a question I can answer for myself and there are many stories of people happy about their sterilizations done in their late 30s, with many compelling reasons that have been shared already in this sub. I've read those stories and intellectually agree that those reasons are convincing.

But I'd also love to hear the other side - anyone who got sterilized in their late 30s who thought it wasn't worth all the bother since your fertility was declining anyway?

AND I COULD SCREEAAMM OH MY GOD IM SO EXCITED!!!!! That was so easy! Thank GOD I was so nervous I could’ve shit myself lol. I’m just waiting to schedule the surgery before I leave.

Thank you to the childfree doctors list. The people who’ve contributed to that and helped put it together, I hope everything in your life works out exactly the way you want it to💖

AAAAAAAAAAHHHHHHHHHHHHHHHHHH🎉

I’m 25 and I just got my tubes removed today!! I’ve been scouring this sub for months mentally preparing, so I’ll add my experience to the lot, hopefully it can help someone else too!

I was scheduled to come in at 9am. I signed a bunch more forms and peed in a cup for the pregnancy test, then I went to the room to change into my hospital clothes, socks and hat included!

Then I waited on the bed as they came and put my IV in, the needle was very small so it wasn’t too bad, and I HAAATE needles. Then the anesthesiologist came and explained what they’ll give me and how I’ll experience the meds, and asked me a ton of questions about my health and drugs I’ve taken ect.

Eventually they gave me anxiety meds in my IV (idk what it was, I didn’t ask for it but was super grateful it was provided, they said it was routine) and within seconds I felt like I was a few glasses deep 😉. I remember being wheeled to another room and they helped me scooch onto the operation bed. The mask was put over my face and they told me it was 100% oxygen, and I remember thinking “wow that’s a lot of oxygen” and then I woke up back in the recovery room, curled up in a ball on my side. Apparently I was more comfy that way and the nurses couldn’t get me to stop rolling over 😅

They offered me a pain pill to take and I almost refused but decided to take it and I’m glad I did since I had a 40 minute drive home.

My shoulder hurt a little bit from what I knew was the dreaded gas pain, and it both hurt pretty bad and also wasn’t nearly as bad as I was expecting.

I’m currently home now, I took a nap right away and am now sitting on my couch with a fluffy heating pad on my stomach. I still feel mildly groggy, basically like I took a sleeping pill the night before and it hasn’t completely worn off.

All in all it went way better than I was worried it would. I’m sore of course but I feel very encouraged and relieved. So glad to have it done! Might update with the rest of my healing journey as my husband will be going back to work on the 4th and it’ll be up to me to care for our 3 month old 🤞

I’m still super out of it so I hope this tracks well 😅

21F, scheduled for bisalp on 12/20! My doctor told me that bisalp should not change my menstrual cycle. I started taking Yaz (combination bc pill) about 5 years ago due to chronic illness and severe painful periods. The goal is to try to stop taking hormonal birth control about a year after my procedure. I wasn’t expecting bisalp to change my periods, but I’ve read some stories about periods getting worse.

How is your period after bisalp? How was it right after bisalp? How is it 1 year+ after bisalp? Did your period change at all? Good or bad changes?

Hey everyone! Just wanted to add another positive surgery experience for folks who may be on the fence about the actual procedure.

My procedure, sadly, had had to be rescheduled from its original date, October 11th, because of Hurricane Helene (there was a factory in NC that supplies IV fluids that was hit hard in the storm, so it caused a nationwide shortage). This created a lot of anxiety in me because the absolute last thing I wanted was to have to reschedule AGAIN because of something stupid (like, my ID isn't up to date, or they're not satisfied with my aftercare plan, etc.). I was especially anxious last night, and in fact was so queasy that I was afraid I was actually sick and would have to reschedule.

(Top tip for that: guided meditation videos on YouTube!! After one 20 minute video I was feeling much better about things and my stomach calmed down considerably.)

I didn't sleep a whole lot the night before, if just because it was an unseasonably warm evening and so my room was absolutely stifling as a result. It was suuuuuuper annoying, and I mostly worried that my partner would be too sleep deprived to drive! But we got up, and left home, on time.

My check in was at 5:30, and I got there early, so I think I waited all of ten minutes before they brought me back. I peed in a cup, got undressed, and they got vitals, as well as some questions about when I ate, drank, peed, etc. They gave me Tylenol, cleaned my belly with some chlorhexidine wipes, placed an IV, and attached some cuffs to my lower legs (which were attached to a machine that lightly squeezed them, one at a time, to keep from forming blood clots). They brought my partner in and went over how things were going to go, then we met with the anesthesiology team. (A resident came in to introduce himself, then asked if I wanted pictures of my procedure. My answer? Yes, please!) After that, things really started moving. I told my partner see you later, they put Versed in my IV, and away to the OR we went! I remember getting there, and having a mask put on my face, and then nothing else until I woke back up.

What surprised me is that I actually felt as though time passed while I was under. The last time I had surgery was as a kid, and I remember blinking, then being in the recovery room, which, ngl, was a little disorienting. This time, I dreamed (though I don't remember what about), and then I woke up and thought "oh, right! I had surgery and I must be done now!" It felt like a long, long nap. I told the nurse that I was a bit queasy, so she put something in my IV, and within about thirty seconds felt a LOT better (it was absolutely wild to me how quickly all the IV drugs worked, it was like magic). I also asked for some lip balm, because the breathing tube dried me out a bit.

After I had woken up enough to move around, they brought my partner back in (who at that point knew more than I did, lol). The procedure went quicker than expected; he had apparently gone to eat something at the hospital cafeteria and had barely taken a bite before the front desk called him and told him the doctor was ready to discuss results. I had entered the OR at around 7:30, and I think it was around 9:30 by the time I was fully lucid.

They went over post op care, what to watch out for, and by that time I felt the need to pee (which burned like crazy). They apparently don't ask people to pee before leaving, but I kind of wanted to make sure I could anyway.

And that was it! They wheeled me down to the parking ramp, my partner and I went home, and both of us are now resting. He's the one sleeping, I don't feel the need to, lol. I also have an appetite, which surprised the hell out of me. Now that I no longer have anxiety about the procedure, turns out I'm starving!

As far as pain goes, it still hurts to pee, and I feel the gas pains in my ribcage, but these are mostly just annoying. It does occur to me that meds are wearing off, so that might change, but I'll get some ibuprofen on board soon enough.

And that's it! Hope this helps someone who's thinking about a bisalp and wants a positive story!

So I have a free ticket to go to an amusement park on Friday, 11/1. I got my bisalp on 10/14 and physically feel totally normal. I'm wondering if I could ride on rides, or if that would mess anything up. I know that my insides are still healing, even though I feel good. I'm planning to send a mage to my doctor's office to ask, but wondered if anyone else had any experience.

Update: Doctor said no to anything with rapid movement/stops, so that pretty much eliminates everything except the carousel and ferris wheel lol. Oh well, healing is more important!

I had a bilateral salpingectomy March of 2022. That was 2 months after having my second child. I hadn’t been on birth control in years and didn’t want to go back on it so I choose sterilization. Do not regret it, would do it again.

Previous to the bisalp my periods weren’t great but they were manageable. Since then though they are unbearable. Every month I am in agonizing pain for the first two days and just absolutely worn out for the rest. The pain is so intense It’s a fight to get anything done and with two kids it’s not an option to just lay in bed. The pain makes me nauseous and I will puke multiple times a day for the first 2 days.

It’s always been like this but has continued to get worse. Today it feels like I am going into early menopause with the hot flashes. Thankfully I work from home off camera so I’m in shorts and a tank top with multiple fans on me and I am still red faced and sweating.

Is this normal?! I’ve never been diagnosed with pcos or endometriosis (however there is a history of that in my family).

Surgery is scheduled for Nov. 21st - the doc I saw was so nice and so easy to work with (I found her on the childfree docs list). However, I have to get medical clearance from my PCP for the surgery a week before it's done. I'm seeing a different doctor from the office I usually go to because my regular PCP isn't available. He's an older man, and I'm worried he'll find some reason to deny me medical clearance by BINGOing me despite my gyn being more than willing to do the surgery. I'm just a little anxious and wondered if anyone had any tips or thoughts!

Hello!

I've known since i was about 7 thar I never wanted kids, and known that I wanted the most extreme form of birth control when I first learned about it in school.

I want to know how to get sterilized but i have so many obstacles. I still live with my stirct parents, no job, no money, i rarely go out so I don't have any fib to tell when I get home from surgery and I'm asked where I have been.

I live in the USA, east coast specifically. Help!

edit, Thank you all for telling me about the childfree list, my bigger issue here is how will I pay for it and what story can i make up to tell afterward

thank you!

I just read about this person who found out because of pain and it was too late to get an abortion. Some people suggested clinics that do it anyway but they aren't from the US. They said they'd kill themselves if they couldn't find a solution. Post is 9 months old and the account is deleted, with no update... Finding that out was horrifying and I wonder if that person was okay in the end. I feel really bad for them. I hate not being able to know. And it terrified me because I would absolutely do the same if it happened to me.

They weren't sterilized but were using both bc and condoms.

I have pcos and an extremely irregular period. Do I have to keep taking tests every once in a while, forever? How often? How many at a time? I really hate that bisalp still isn't a 100%. Sadly bf can't get a vasectomy for a good while. I have an extremely severe phobia of pr.cy and I'm autistic with ocd. I need some peace of mind. Thank you

I had a laparoscopic bi-salp yesterday and was suggested to come home in and with disposable panties and pads for bleeding and spotting. I’m not bleeding or spotting. When can I expect this to start? Should I continue to wear pads until it does? Has anyone not experienced spotting afterwards? Not sure if it matters, but my last period just ended 4-5 days before surgery. TIA!

Hi, so I’m a 37 year old female and I was wondering if there are any of you or your partners that have fallen pregnant after having tubal ligation. I was 29 when I had my tubes cauterised. I am experiencing a late cycle of 7 days which is unheard of for me. I am as regular as clockwork! Before I scare myself into a Drs visit was just wondering if I’m just being ridiculous. Pregnancy test failed I didn’t get a result. I don’t want to keep wasting money. Please be kind I’m freaking out slightly!

I’m getting a salpingectomy in about a month. Out of all of the side effects the most common one I see is about the bloating and gas. I was curious to know if anyone might have advice as to what I should start eating before the surgery to possibly prevent some of this? Maybe just healthier foods like veggies, fruits, and such or lighter foods like soup? I wanna try and start this diet two weeks before surgery so my stomach gets adjusted. If anyone has any tips or tricks, even for food that prevents bloating and gas after surgery that would be great ! Thanks !

21f not married no kids. It's been 3 full days since surgery. I went to a doctor on the r/childfree subreddit list and was able to get scheduled almost immediately! Just one consultation and one preop appointment and I was set. Surgery went really smooth and pain afterwards was comparable with period cramps. So worth it! I made sure to tell my anesthesiologist that I've had nausea/vomiting in the past when I had my appendix removed. They gave me zofran and I woke up feeling good! Like the best nap I've had in a while.

I just met with my Dr today to discuss sterilization surgery. I have type one diabetes and other autoimmune issues and I just have no interest in going through pregnancy. She was completely fine with doing it and it seemed like there were no issues on her side. When I thought we were about to discuss a date (she scheduled this as a pre-op appointment so they told me I would get scheduled today) she told me we would do another pre op about 5 months from now so I can have my surgery 6 months out. She said it was due to insurance purposes or something, that they’d cover more if I wait longer since i’m under 25. I’m very confused. I have never seen anything saying I have to wait 6 months, only 30 days. I can’t find anything in my state laws or on my insurance plan backing this! Another reason I want to get it done is i’m starting to have complications from my hormonal birth control and was hoping to be able to get off of it ASAP. I have no idea what to do! She talked so fast and barely gave me room to speak, she was pleasant enough, but it was very much “this is what’s happening and you’re just along for the ride.”

Do I schedule another appointment and tell her I know I only have to wait 30 days? Everything i’ve seen says insurance has to cover this anyway (for the most part.) I don’t see how this waiting period makes sense at all when I can’t find any information on it…

If this is needed, I’m in Arkansas and my OB office is not religiously affiliated in the slightest. Please give any advice you can!

Hello everyone has anyone got information for sterilisation abroad, We are looking into Turkey currently but we need more information about places to go and how the procedures and aftercare are held

I want to get a bisalp, but I have been worried about my belly button piercing that is finally giving me less trouble and seems to be healing now. I am worried that I will have to remove it, especially since it's so close to the surgical site. I probably will get a clear retainer for it because I don't want to have it close up, and then I have to repierce and go through that long healing process again.

I totally forgot that I also have waist beads that I've worn for a year and can only be taken off if I cut it which renders it useless after and I paid a good amount of money for them. I also have nipple piercings (still healing of course ugh), 3 nose piercings, 2 lip piercings, a tragus, and most recently a rook and a daith piercing that have been and are a bitch to heal so taking them out to put a retainer in em is not an option nor are the nipple piercings. Will I have to take all of these off for the surgery? It would be ideal for me to get the surgery this year as I already hit my deductible, but it's the end of the year, so I probably won't be able to get an appointment soon.

Also, honestly, there is no rush to get the surgery now as I am not having sex but just wanted others' experience/input. I would be so proud of myself if I got this procedure done. Im in my mid-30s and decided years ago that I didn't want children of my own. Knowing me, I probably won't start having sex until this procedure is done, lol. In the future, I don't want to ever be panicked that I could be pregnant, having to deal with oral birth controls, plan b, or IUDs, or have to consider getting an abortion. I need it to be a sure thing because I'm not trying to get caught up.

as the title reads, i am absolutely devastated. we weren't seeing eachother for super long (only about 5 months), but we had a very strong emotional and physical bond and loved each other dearly. he was very supportive of my surgery and looking forward to take care of me. he planned to drop me off and take me to the hospital and was going to stay with me for a week after to make me food and care for me and just generally support me.

after a series of events be decided to just coldly end thing out of the blue, and i am left to figure out how to seek out the support i need.

the thought of healing from this surgery while i'm heartbroken is crippling and i'm trying to get as much community support as i can during this

any words of affirmation or advice are helpful because now im almost reconsidering even getting the surgery since i'm so mentally off from this situation

I just had my Bisalp done on the 21st. I’m healing great so far. No complications.

I’m transgender, female to male, and have been on Testosterone for two years now and haven’t had a period in over 10 years I’d have to say. I was never sexually active prior so I never kept track with ovulation and things like that. Last year, I met a partner (male) who I became sexually active with and I’m just curious as to when it’s safe to proceed with sex again. Unprotected specifically.

Like are you sterilized immediately after the procedure? Or could you have ovulated right before the procedure and have to wait till that passes? Pardon my ignorance on the topic.

So, I understand that ACA requires that my Bisalp (coded as a tubal ligation) is fully covered by insurance. But, because I had such massive complications with my surgery (posted about a few days ago), I am worried I will be hit by a huge bill due to something outside of my control. I had to be in the hospital for 5 days with round the clock nurse care in the PCU. Then 1.5 days in general care due to uncontrollable pain with the wrong pain meds. Had to receive 3 units of blood and 2 units of plasma, and had a blood gas line as well as a central line put in when I was under. I certainly don’t have a lot of money and it was supposed to be covered. Will that change because my doctor made a mistake and nicked my artery. I don’t know what to do this whole experience has been so exhausting.