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Tubal Ligation or Salpingectomy: What to Expect at Home

Your Recovery

Tubal ligation is a surgery done to close your fallopian tubes and prevent pregnancy. Salpingectomy is a surgery to remove the fallopian tubes. It may be done to prevent pregnancy or treat an ectopic pregnancy or cancer. Your doctor blocked, tied, cut, or removed your fallopian tubes. This is usually done with either laparoscopic surgery or open surgery.

You may have pain in your belly for a few days after surgery. If you had a laparoscopy, you may also have a swollen belly or a change in your bowels for a few days. After a laparoscopy, you may also have some shoulder or back pain. This pain is caused by the gas your doctor put in your belly to help see your organs better. To help with pain, your doctor will prescribe medicines.

After either surgery, it's important not to lift anything heavy for 1 week. How long it takes you to fully recover depends on the kind of surgery you had. After a laparoscopy, it usually takes about 1 week. After open surgery, it usually takes 1 to 3 weeks. If you had open surgery after having a baby, your recovery may take longer.

You will be protected from pregnancy right away. But it's best to wait to have sex until it feels comfortable. Ask your doctor when it's okay to have sex.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Activity

Rest when you feel tired.
Be active. Walking is a good choice.
Allow your body to heal. Don't move quickly or lift anything heavy until you are feeling better.
You may shower. Pat the incision dry. Don't swim or take a bath for the first 2 weeks, or until your doctor tells you it is okay.
For laparoscopic surgery, you will probably need to take 2 to 7 days off work. For open surgery, you will probably need to take 1 to 2 weeks off work. It depends on the type of work you do and how you feel.
Ask your doctor when it is okay for you to have sex.

Diet

You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.
Drink plenty of fluids (unless your doctor tells you not to).
If your bowel movements are not regular right after surgery, try to avoid constipation and straining. Drink plenty of water. Your doctor may suggest fibre, a stool softener, or a mild laxative.

Medicines

Your doctor will tell you if and when you can restart your medicines. The doctor will also give you instructions about taking any new medicines.
If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
Be safe with medicines. Read and follow all instructions on the label.
- If the doctor gave you a prescription medicine for pain, take it as prescribed.
- If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

Incision care

If you have strips of tape on the cut (incision) the doctor made, leave the tape on for a week or until it falls off.
Wash the area daily with warm, soapy water, and pat it dry. Don't use hydrogen peroxide or alcohol. They can slow healing.
Keep the area clean and dry. You may cover the area with a gauze bandage if it oozes fluid or rubs against clothing.
Change the bandage every day.

Other instructions

Wear loose, comfortable clothing. For a few weeks, avoid anything that puts pressure on your belly.
You may want to use a heating pad on your belly to help with pain.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

You passed out (lost consciousness).
You have chest pain, are short of breath, or you cough up blood.

Call your doctor or nurse advice line now or seek immediate medical care if:

You have pain that does not get better when you take your pain medicine.
You cannot pass stools or gas.
You have bright red vaginal bleeding that soaks one or more pads in an hour, or you have large clots.
You are sick to your stomach or cannot drink fluids.
You have vaginal discharge that has increased in amount or smells bad.
You have loose stitches, or your incision comes open.
You have signs of infection, such as:
- Increased pain, swelling, warmth, or redness.
- Red streaks leading from the incision.
- Pus draining from the incision.
- A fever.
You have signs of a blood clot in your leg (called a deep vein thrombosis), such as:
- Pain in the calf, back of the knee, thigh, or groin.
- Swelling in the leg or groin.
- A colour change on the leg or groin. The skin may be reddish or purplish, depending on your usual skin colour.
Bright red blood has soaked through the bandage over your incision.

Watch closely for any changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.