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What are the pros and cons of permanent contraceptive techniques?

By Silvia Azaña Gutiérrez B.Sc., M.Sc. (embryologist).
Last Update: 10/06/2025

The concept of permanent or irreversible contraceptive techniques specifically refers to tubal ligation in the case of women and to vasectomy in the case of men. Although it is possible to seek pregnancy after tubal ligation or vasectomy, these types of contraceptive techniques should always be considered permanent methods and, therefore, should only be performed when the person is absolutely certain that they have fulfilled their reproductive desires.

One of the main benefits or advantages of permanent contraception is precisely the fact that it has a permanent nature. This allows women or men who undergo these contraceptive techniques to completely stop worrying about contraception. However, one of the main disadvantages of irreversible contraceptive methods is that they do not provide protection against sexually transmitted diseases, which is why a barrier contraceptive method, such as a condom, must be used.

On the other hand, although these are highly effective contraceptive methods, there is a small chance of spontaneous recanalization and unwanted pregnancy.

Finally, it should be clearly noted that the permanent nature of these contraceptive techniques can also become a disadvantage if the person's circumstances change in the future and they once again wish to have children.

 Silvia Azaña Gutiérrez
Silvia Azaña Gutiérrez
B.Sc., M.Sc.
Embryologist
Graduate in Health Biology from the University of Alcalá and specialized in Clinical Genetics from the same university. Master in Assisted Reproduction by the University of Valencia in collaboration with IVI clinics.
License: 3435-CV
Embryologist. Graduate in Health Biology from the University of Alcalá and specialized in Clinical Genetics from the same university. Master in Assisted Reproduction by the University of Valencia in collaboration with IVI clinics. License: 3435-CV.