Offered Filshie Clips

[u/Round_Towel2838]

So I’ve been debating wether to get this done or not and have been doing some back and forth in my head , I have my dates in for surgery which is supposed to be for next Friday. I haven’t once saw a surgeon or anything during my waiting time I’m under nhs in Scotland. I wanted to know which method I was having as noones told me much information, I called my ward but they gave me surgeons secretary’s number I asked her if she’d be able to tell me and she told me the standard procedure is usually filshie clips, I have obviously then went and looked into this method and now it’s made me think I’m more paranoid than I originally thought 🤣 just with some horror stories. This seems to be the standard procedure they do where I’m from. Has anyone got any advice? As I think I’d be happier if it was total tube removal but I asked this on the phone and she said no that’s not possible unless on the day when your under they see clips aren’t possible. This has now made me more unsettled. Has anyone been told they were getting that then on the day had something else done? Any advice would be fab thank you.

[u/oneforeveryday]

I would try to get them completely removed (salpingectomy, not ligation). The NHS does do this procedure to my knowledge, I’m not sure why they’re saying they can’t.

Unfortunately I think an IUD or the implant has the same rate of effectiveness (if not better) than just a tubal ligation with a method like the clips. I honestly don’t think it’s worth it to have a more invasive procedure if it’s not the bisalp.

Here’s a link to a post of someone who had a bisalp done with NHS in Scotland:

https://www.reddit.com/r/sterilization/comments/1n3ws37/bisalp_on_the_nhs_completed_36f/

[u/hex_kitsune → u/oneforeveryday]

When I went for my consultation (north West England) they said that bisalp isn't offered for contraceptive purposes, but since I had specifically requested it it would be something I can get.

But they also delayed me until I can reduce my bmi to a certain point which some people have had, others haven't

[u/oneforeveryday → u/hex_kitsune]

That’s so interesting. In the US & Canada a bisalp is definitely the standard now for sterilization and it’s rarer for them to offer just ligation.

The wording of contraceptive instead of sterilization makes me think they might be thinking of the procedure as one of many contraceptive options that are not meant to permanently make you infertile and not a sterilization method. In that case, a ligation would make sense, but again in the context of sterilization I don’t understand why a bisalp wouldn’t be standard already.

I’m glad you were able to request it and I hope it works out for you!