On February 4th, Abby underwent complex surgery that included bilateral salpingectomy. In this operation, the doctor removes both fallopian tubes, removes the egg’s passage from the ovaries to the uterus, and removes the endometrial layer. Tissue that lines the inside of the uterus.
According to Johns Hopkins Medicine, removing this layer of the endometrium reduces the chances of conception because it “removes the lining of the uterine lining where the egg implants after fertilization.”
Abby chose this combination not only to eliminate the possibility of unwanted pregnancies, but also to provide endometrial ablation for people like Abby who experience long, heavy periods that interfere with their daily lives. It is also a remedy. In 9 out of 10 women, endometrial ablation significantly reduces or even completely eliminates menstrual flow. However, ReproductiveFacts.org reports that this doesn’t always last. Some people may begin to experience prolonged heavy bleeding for years after surgery, in which case they may need to have their uterus removed.
Other surgical options for those whose uterus needs sterilization include tubal ligation. This is a procedure commonly known as tubal ligation, in which a doctor cuts, ties, or seals the fallopian tubes. It is the most common form of permanent contraception and is 99% effective.
Alternatively, a hysterectomy (complete removal of the uterus) is available.
A nonsurgical option is sterilization by hysteroscopy, in which a doctor uses an endoscope to insert a metal coil into the fallopian tubes. After placement, the person’s body begins to grow tissue around the coil, thereby preventing the egg from traveling from the ovary to the uterus.
Without insurance, the bill would have been about $116,000, Abby said, but out-of-pocket costs totaled $1,000. Most insurance companies cover permanent birth control options.