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bilateral tubal ligation or BTL also called getting your tubes tied is a sterilization procedure if you're absolutely positive that you're done having children this is a pretty good way to go because you have this procedure and then you can't get pregnant again the problem with this procedure is that it's permanent and not reversible once you have this done if you change your mind later you're out of luck you're not going to be able to have children now even though that's not quite technically true it is what we recommend that you consider and that you consider this completely permanent there's really two ways around a tubal ligation one is something called a tubal reversal where you have a surgery to tie basically put the tubes back together it's very expensive it's a big surgery and there's a pretty reasonable chance that it won't work so that's one problem with that the other thing is something called IVF that's where they take an egg from your ovary and a sperm from your partner pu

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