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Life unfolds in fascinating, sometimes unexpected ways. For many women, that journey includes making impactful decisions about their reproductive health. Among these choices are a range of gynecological surgeries, each unique in its purpose and scope.

Whether you’re seeking permanent sterilization, navigating fibroids or endometriosis, or facing pregnancy complications, understanding your options is essential. At His&HerDoc, we’re here to enlighten and guide you every step of the way. Curious about the details of a specific procedure or want to discuss your individual needs book a consultation today!

Tubal Ligations

What it is

Tubal ligation, often referred to as “getting your tubes tied,” is a permanent form of birth control for women that aims to prevent pregnancy by blocking the fallopian tubes, which carry eggs from the ovaries to the uterus where fertilization typically occurs.

During a tubal ligation procedure, a healthcare professional will access your fallopian tubes through small incisions made in your abdomen. Once the tubes are accessed, they can be blocked in several ways – either by tying and cutting them (hence the term “getting your tubes tied”), sealing them with an electric current, or placing small clips or rings on them.

This blockage prevents the eggs from traveling down the fallopian tubes and meeting sperm, thereby preventing fertilization and subsequent pregnancy.


What it is

A hysterectomy is a surgical procedure that involves the removal of a woman’s uterus, which is the organ where a baby grows during pregnancy. It is one of the most common types of surgery for women and is often performed to treat various health conditions.

Depending on the reason for the surgery, a hysterectomy may involve removing the entire uterus (total hysterectomy), or just part of it (partial or subtotal hysterectomy). In some cases, the ovaries and fallopian tubes may also be removed (total hysterectomy with bilateral salpingo-oophorectomy).

The procedure can be performed through several methods: abdominal hysterectomy (through a large incision in the lower abdomen), vaginal hysterectomy (through the vagina), or laparoscopic hysterectomy (using small incisions and a camera).

Once the uterus is removed, a woman will no longer have menstrual periods and cannot become pregnant. If the ovaries are removed as well, this will also induce menopause, regardless of a woman’s age.

Dilation and Curettage D&C

What it is

A Dilation and Curettage, often abbreviated as D&C, is a surgical procedure performed on a woman’s uterus.

It’s typically done to diagnose or treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

During a D&C, dilation refers to opening the cervix — the gateway between the uterus and vagina — while curettage involves scraping the inside of the uterus. The procedure generally starts with the administration of anesthesia to ensure comfort during the process. The doctor then dilates the cervix using a series of progressively larger instruments called dilators. Once the cervix is adequately dilated, the doctor inserts a tool known as a curette into the uterus. The curette, which may be sharp-edged or use suction, is used to gently remove the uterine tissue. After a D&C, the removed tissue can be sent to a lab for analysis, providing valuable information for diagnosis or treatment.


What it is

A hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding.

It’s done using a hysteroscope, which is a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. The procedure starts with the widening of your cervix to allow the hysteroscope to be inserted. Once the hysteroscope is in place, your doctor will fill your uterus with a fluid, like saline, to expand it and allow for a clearer view of the interior.

The light and camera on the end of the hysteroscope transmit images onto a screen for your doctor to view. If necessary, small instruments can be passed through the hysteroscope to remove polyps or fibroids, take tissue samples, or perform other procedures. A hysteroscopy can be performed in office or at a hospital, and the procedure itself usually takes between 5 to 30 minutes, unless it’s being used to perform surgery.

Frequently Asked Questions


While discomfort varies from person to person, these procedures are generally performed under anesthesia to minimize pain. You might experience mild cramping or discomfort after the procedure, but severe pain is uncommon. Our team at His&HerDoc is dedicated to ensuring your comfort throughout the process.

Recovery time can vary depending on the specific procedure and individual health factors. Generally, you should be able to return to normal activities within a few days to a week. Our team will provide you with detailed aftercare instructions and support you through your recovery.

Most of these procedures, including D&C and hysteroscopy, do not have a significant impact on hormone levels. However, if a hysterectomy includes removal of the ovaries, it will cause menopause, regardless of age. Tubal ligation does not affect hormone production or menstruation.

There may be alternatives available depending on your specific condition. These can include medication, lifestyle changes, less invasive procedures, or watchful waiting. We at His&HerDoc believe in discussing all possible treatment options to find the one that best suits your needs and lifestyle.

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