Tubal Ligation vs Salpingectomy: Which Is Best?

Name something better than curing cancer? The answer is never getting cancer in the first place. It has been discovered that removing the fallopian tubes may prevent the development of ovarian cancer. Let’s take a deeper dive into tubal ligation vs. salpingectomy and which is best.

Ovarian Cancer Facts

  • Ovarian cancer is most common in menopausal women.
  • Ovarian cancer is the leading cause of death from cancer of the female reproductive system.
  • From 2010-2019 the number of new cases of ovarian cancer declined slightly each year. There was also a light decrease in death from ovarian cancer during 2011-2020.
  • Women with a family history of ovarian cancer or from certain gene changes like BRCA1 or BRCA2 have a higher risk than women who do not have a family history or have not inherited a gene change.
  • It is hard to find ovarian cancer early since there may not be any symptoms. When signs do appear, the cancer is often advanced and too late for a cure.

What Is a Salpingectomy?

Salpingectomy is the surgical removal of both fallopian tubes. The fallopian tubes are the tunnel through which eggs move from the ovaries to the uterus for implantation.

Tubal Ligation vs Salpingectomy

Tubal ligation is known colloquially as having your tubes tied, in which your doctor clamps or ties the fallopian tubes closed preventing pregnancy.

While both tubal ligation and salpigectomy are effective in preventing pregnancy, recently it has been found that salpigectomy has the benefit of ovarian cancer prevention.

Reducing the Risk of Ovarian Cancer

There is no definitive way to prevent ovarian cancer, but there are now ways to lower the risk. It was thought ovarian cancer began in the ovaries, but research has recently shown that some forms of cancer actually can start in the fallopian tubes via the projections at the end of the tubes. The cancer cells then spread to the ovaries and also to the peritoneum, the tissue surrounding the organs in the abdomen.

If a woman has completed her family or wants no children, she can have her fallopian tubes removed. A woman who has a higher risk of ovarian cancer can also have her ovaries removed at the same time. The decision should be made in consultation with Dr. Poorti Riley. This is becoming the standard of care for women who do not want any, or more, children.

The bottom line is that salpingectomy can provide contraception and reduce the risk of ovarian cancer.

Contact board-certified gynecologist Poorti Riley, MD at Florida Women’s Health to schedule a consultation to discuss salpingectomy in Ocala, FL by calling (352) 369-5999.