
How tubal ligation prevents pregnancy
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In February, a Michigan state representative spoke out about undergoing surgery to prevent pregnancy. Her speech prompted questions about procedures like tubal ligation, sometimes called “getting your tubes tied,” which is increasingly common in states with abortion bans.
It’s a safe and highly effective procedure, and unlike most forms of birth control, it permanently prevents pregnancy.
Read on to learn how tubal ligation works, what to expect if you get one, and more.
How does tubal ligation prevent pregnancy?
During a tubal ligation surgery, a doctor cuts or ties the fallopian tubes, which stops your eggs from entering the uterus. This also stops sperm from traveling through the fallopian tubes to fertilize the eggs.
Is tubal ligation permanent?
Tubal ligation is meant to be permanent. Sometimes it’s possible to reverse the procedure, but this can be an expensive and complicated surgery.
“A limited number of physicians do that, and it doesn’t always work,” said Dr. Erica Schipper, an OB-GYN at Sanford Health, on a recent podcast. “So, I do tell my patients, ‘You should be very sure that you want a permanent form of contraception if you go ahead with this.’”
What should you expect during and after a tubal ligation?
If you’re undergoing a tubal ligation, you can expect to receive general anesthesia to sleep through the procedure, which takes 20 to 30 minutes to complete. It’s usually a laparoscopic surgery, a minimally invasive procedure to see inside your abdomen using a camera. Afterward, you might feel groggy and experience some pain.
Most people recover within a couple of days, but you should avoid lifting anything heavier than 12 pounds for a week after the procedure and avoid swimming or taking baths for at least two weeks. You may experience vaginal bleeding for up to one month after surgery.
Doctors typically advise patients to wait at least one week after the procedure before having sex. This allows the surgical site to heal and reduces the risk of infection.
Some patients may opt to get their tubes tied during a cesarean, or C-section. In this case, the surgeon uses the incision that was made in the abdomen to deliver the baby to access the fallopian tubes. After a C-section, most people stay in the hospital for two to three days before recovering fully at home in four to six weeks.
How effective is it?
Tubal ligation is more than 99 percent effective at preventing pregnancy.
If you’re not ready for permanent birth control, there are other highly effective options. Getting an intrauterine device, or an IUD, is also more than 99 percent effective at preventing pregnancy and lasts for several years. A health care provider can remove your IUD if you want to get pregnant.
Learn about other forms of birth control from Planned Parenthood.
What are the risks?
Getting your tubes tied is safe, but like all surgeries, it comes with some risks, like infection of the surgical site or allergic reaction to anesthesia.
“Any risk that comes with any laparoscopic surgery comes with this one,” Schipper added. “That said, this is a procedure that is done quite frequently and usually goes very well.”
Where can you get a tubal ligation?
You can get a tubal ligation at a health care provider’s office, hospital, or health clinic like Planned Parenthood.
How much does it cost?
Depending on your health insurance, tubal ligation can cost anywhere from $0 to $6,000, including follow-up visits.
If you’re worried about affording the procedure, contact your local Planned Parenthood to learn about free or lower-cost forms of birth control.
What barriers may people face when seeking a tubal ligation?
Some patients struggle to get a tubal ligation due to cost, appointment shortages, opposition from partners, and health care providers who are reluctant to perform the surgery on younger patients.
“I will routinely see patients that have been denied by other people because of, ‘Ah, you might want to have kids in the future.’ ‘You don’t have enough kids.’ ‘Are you sure you want to do this? It’s not reversible,’” said Dr. Alexis O’Leary, a Helena, Montana, OB-GYN in a June 2024 article from KFF Health News. If your health care provider is unwilling to perform a tubal ligation, see another provider or visit your local Planned Parenthood.
If you are unable to access a tubal ligation, discuss other birth control options with your health care provider. You can also talk to your partner about getting a vasectomy, if this applies to them. This minor surgical procedure for people with penises stops them from releasing sperm into semen, thus avoiding pregnancy. Vasectomies are meant to be permanent, and the procedure is less invasive and less expensive than a tubal ligation.
For more information, talk to your health care provider.
This article first appeared on Public Good News and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
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How The Arts Slow Biological Aging
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We’ve previous discussed some specific health benefits (especially brain health) of some specific arts, for example:
- The Music That Keeps Dementia At Bay
- Dancing vs Parkinson’s Depression ← this article is about a rather fun study, and the results were very predictable (i.e: it helps), and/but the mechanism of action is not necessarily something that people might think of in advance!
- How To Engage Your Whole Brain
…as well as occasional guest articles, such as: Lost for words? Research shows art therapy brings benefits for mental health
But what of the arts in general, as a category, and healthy aging beyond “just” brain health?
Artfully dodging aging
Researchers (Dr. Daisy Fancourt et al.) analyzed data from 3,556 UK adults and found that more frequent and more diverse arts and cultural engagement—such as reading, listening to music, or visiting museums—was associated with slower biological aging based on DNA methylation markers.
And yes, Dr. Fancourt and her team did control for such things as wealth, income, educational level, and other potential confounding variables that may have otherwise caused misleading results of the kind that lead to headlines such as “Horse-riding found to be the sport that most extends longevity”. Should we all take up horse-riding to increase our lifespans? Probably not; the reality is that people who can afford horses can probably afford better than average healthcare, and lead easier, less stressful lives overall. The fact that people with horses typically have wealthier lifestyles than those without, is the confounding variable here.
You can learn more about this sort of thing here: How Science News Outlets Can Lie To You (Yes, Even If They Cite Studies!)
Back to Dr. Fancourt’s study that did better than that and did control for the confounding variables (and yes, in this case, the associations held regardless of those other factors, indicating it really was the arts engagement that made a difference), she and her team found the following outcomes:
- Those who engaged in arts activities at least weekly appeared to age4% more slowly (a benefit comparable to exercising at least weekly versus doing no exercise).
- On the PhenoAge clock (see link below for more on that),weekly arts engagement was associated with being biologically about one year younger on average than rare engagement, while weekly exercise was linked to being just over half a year younger.
- These associations were most pronounced in people aged 40 and older, suggesting arts engagement becomes especially relevant in midlife and later years.
As for how it works, it’s not known for sure, but hypotheses so far include that arts engagement, especially if varied, combines cognitive, emotional, social, and sometimes physical stimulation, reducing stress, inflammation, and cardiovascular risk—all of which have big implications for health and healthy aging, of course.
You can read this paper in full, here: Does leisure activity matter for epigenetic ageing? Analyses of arts engagement and physical activity in the UK Household Longitudinal Study
Want to learn more?
You might like this book we reviewed a while back:
This Is Your Brain on Music – by Dr. Daniel Levitin
Enjoy!
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Melatonin vs Chronic Pain?
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We’ve previously wrote about about melatonin:
❝Melatonin is a hormone normally made in our pineal gland. It helps regulate our circadian rhythm, by making us sleepy.
It has other roles too—it has a part to play in regulating immune function, something that also waxes and wanes as a typical day goes by.
Additionally, since melatonin and cortisol are antagonistic to each other, a sudden increase in either will decrease the other. Our brain takes advantage of this, by giving us a cortisol spike in the morning to help us wake up.
As a supplement, it’s generally enjoyed with the intention of inducing healthy, natural, restorative sleep.❞
Read in full: Melatonin: A Safe, Natural Sleep Aid? ← our research review article that does cover the pros and cons, and yes, there are indeed downsides too, including some contraindications e.g. melatonin helps regulate immune function, so that’s something to bear in mind if you’re on immunosuppressants or otherwise have an autoimmune disorder. It can also interfere with blood pressure medications and blood thinners, and may make epilepsy meds less effective.
We’ve also written about how it can help with specific chronic diseases, such as: Melatonin vs Lupus!
…so, what’s this about melatonin vs chronic pain?
The sleep-pain relationship
This one came to our attention because of a rather eye-catching headline: Melatonin may ease chronic pain, study finds
Which is a fascinating headline to come from a study of 254 adults (mean average age 60.8 years; 87% women) with chronic musculoskeletal (MSK) pain, and whose results were as follows:
❝Sleep disturbances were reported by 73 % of participants, with insomnia most common. Forty percent had previously used melatonin, primarily for sleep, yet 57 % of users were uncertain about its analgesic effects. Willingness to use melatonin was expressed by 79 % of users and 83 % of non-users for pain management. General concerns included side effects, drug interactions, efficacy, and cost.❞
Yes, it was a survey-based study, and the main pain-related finding was “I don’t know”.
Further, if we break down the responses of those with chronic pain and using melatonin, more participants regarded it as “not effective at all” than regarded it as “moderately effective or very effective” (i.e. even if we stack those latter categories on top of each other, they still don’t add up to as many as the responses for “not effective at all”:
Source: Patients’ attitudes toward melatonin for musculoskeletal pain: Insights for rehabilitation practice
However, as anyone with chronic pain will know, chronic pain and poor sleep adversely affect each other (i.e. each being bad makes the other worse), and therefore it is reasonable to infer that the inverse is true—reducing pain can improve sleep, and improving sleep can reduce pain.
And, of course, if you literally just need a break… If you’re asleep, you’re not consciously* in pain and thus not suffering.
*Unconsciously, your nerves are still doing their thing and so your body still “knows” that you are in pain and responds accordingly. This is also the main reason that strong painkillers are given to a patient who is about to undergo surgery under general anaesthesia—they won’t be experiencing the pain, the body will still think it’s being eaten by a tiger or something and respond accordingly in terms of heart rate, inflammatory responses, etc.
So while it’s fair to say “no, the study didn’t at all establish that melatonin can help vs chronic pain”, and nor was that even the question being examined in the study, it doesn’t mean that getting better sleep can’t help you manage chronic pain better, and so there may be an indirect help.
See also:
Want to learn more?
We’ve written quite a bit about pain management, including:
- Before You Reach For That Tylenol…
- How To Stop Pain Spreading
- How To Dial Down Your Pain
- Managing Chronic Pain (Realistically!)
- Get The Right Help For Your Pain
- The 7 Approaches To Pain Management
- Science-Based Alternative Pain Relief (When Painkillers Aren’t Helping, These Things Might)
Take care!
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What Happens To Your Brain Without Any Social Contact?
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Humans are, by evolution, social creatures. As individuals we may have something of a spectrum from introvert to extrovert, but as a species, we thrive in community. And we suffer, when we don’t have that.
But how?
It depends on the reason
This video makes the important distinction of forced isolation vs chosen solitude, on the grounds that while voluntary solitude can relieve stress, involuntary isolation can cause severe and lasting psychological harm, for example:
- Involuntary isolation often leads to chronic stress, disrupted identity, impaired reasoning, and emotional instability, including depression, obsessions, suicidal thoughts, and hallucinations.
- On a neurological level, the limbic system becomes hyperactive (heightened fear and stress), while the prefrontal cortex shrinks, reducing focus, memory, and moral reasoning.
- On a beyond-the-brain but still physical level, it can cause insomnia, heart palpitations, dizziness, hypersensitivity, headaches, and stress-related weight loss.
Notably, the UN and many human rights groups view long-term solitary confinement (such as is commonly practised in prisons, and disproportionately so in the US) as a form of psychological torture.
Of course you, dear reader, are not in that position (or else you would not be reading this), but it does mean that if at any point you find you’re becoming increasingly isolated and not by choice, then it’s probably time to try to turn things around (see our link in the “Learn more” section for how).
Not discussed in the video: did you notice the difference in terms, “voluntary solitude” vs “involuntary isolation“? Interestingly, these two words that both have “-sol-” in them are etymologically unrelated:
- solitude comes from “solitudo” which ultimately comes from “solus” (alone) ← so this is simply about the state of being alone
- isolation comes from “isolato” which comes from “insulatus” which comes from “insula” (island) ← so this is specifically about being cut off from others
/bonus content from your writer who is a language nerd 😉
For more on all of this (except the last bit), enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like:
How To Beat Loneliness & Isolation
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Rethinking Exercise: The Workout Paradox
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The notion of running a caloric deficit (i.e., expending more calories than we consume) to reduce bodyfat is appealing in its simplicity, but… we’d say “it doesn’t actually work outside of a lab”, but honestly, it doesn’t actually work outside of a calculator.
Why?
For a start, exercise calorie costs are quite small numbers compared to metabolic base rate. Our brain alone uses a huge portion of our daily calories, and the rest of our body literally never stops doing stuff. Even if we’re lounging in bed and ostensibly not moving, on a cellular level we stay incredibly busy, and all that costs (and the currency is: calories).
Since that cost is reflected in the body’s budget per kg of bodyweight, a larger body (regardless of its composition) will require more calories than a smaller one. We say “regardless of its composition” because this is true regardless—but for what it’s worth, muscle is more “costly” to maintain than fat, which is one of several reasons why the average man requires more daily calories than the average woman, since on average men will tend to have more muscle.
And if you do exercise because you want to run out the budget so the body has to “spend” from fat stores?
Good luck, because while it may work in the very short term, the body will quickly adapt, like an accountant seeing your reckless spending and cutting back somewhere else. That’s why in all kinds of exercise except high-intensity interval training, a period of exercise will be followed by a metabolic slump, the body’s “austerity measures”, to balance the books.
You may be wondering: why is it different for HIIT? It’s because it changes things up frequently enough that the body doesn’t get a chance to adapt. To labor the financial metaphor, it involves lying to your accountant, so that the compensation is not made. Congratulations: you’re committing calorie fraud (but it’s good for the body, so hey).
That doesn’t mean other kinds of exercise are useless (or worse, necessarily counterproductive), though! Just, that we must acknowledge that other forms of exercise are great for various aspects of physical health (strengthening the body, mobilizing blood and lymph, preventing disease, enjoying mental health benefits, etc) that don’t really affect fat levels much (which are decided more in the kitchen than the gym—and even in the category of diet, it’s more about what and how and when you eat, rather than how much).
For more information on metabolic balance in the context of exercise, enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like to read:
- Are You A Calorie-Burning Machine?
- Burn! How To Boost Your Metabolism
- How To Do HIIT (Without Wrecking Your Body)
- Lose Weight, But Healthily
- Build Muscle (Healthily!)
- How To Gain Weight (Healthily!)
Take care!
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80-Year-Olds Share Their Biggest Regrets
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Notwithstanding the title, some of these people are a little younger than 80, but this adds to the interest a little as we see the different regrets / learned wisdoms at different stages of later life!
If we could turn back the time…
There are dozens of life regrets / wishes / retroactive advices shared in this video; here are some highlights:
- “My regret was I had a dysfunctional family and I wish I would have learned not to take responsibility.”
- “In my 30s, when I started drinking very heavily, I wish I hadn’t done that because it escalated to drug abuse.”
- “When my parents were old ages, I was working very hard… I didn’t have time to take care of them, not even spend the time with them. That’s my biggest regret.”
- “Live life to the fullest because none of us have any assurance on how old we’re going to be when we’re going to die.”
- “If I could do it over, I would have called home more and realized what my brother was going through.”
- “Spent a lot of years being concerned about what other people thought of me.”
- “You got to be careful what you say to your children because it means a lot.”
For the rest, enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like to read:
- Managing Your Mortality Without Regrets
- How To Avoid Carer Burnout (Without Dropping Care)
- Managing Sibling Relationships In Adult Life
- Family Estrangment & How To Fix It
Take care!
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Red Cabbage vs White Cabbage – Which is Healthier?
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Our Verdict
When comparing red cabbage to white cabbage, we picked the red.
Why?
Perhaps you guessed this one, based on the “darker and/or more colorful foods are usually more nutritionally dense” dictum. That’s not always true, by the way, but it is a good rule of thumb and it is correct here. In the case of cabbages, each type is a nutritional powerhouse, but red does beat white:
In terms of macros, they’re quite comparable. They’re both >90% water with just enough other stuff (carbs, fiber, protein) to hold them together, and the “other stuff” in question is quite similarly proportioned in both cases. Within the carbs, even the sugar breakdown is similar. There are slight differences, but the differences are not only tiny, but also they balance out in any case. Thus, a tie in this round.
When it comes to vitamins, as you might expect, the colorful red cabbage does better with more of vitamins A, B1, B2, B3, B6, and C, while white has more of vitamins B5, B9, E, and K. So, a 6:4 win for red.
In the category of minerals, it’s even more polarized; red cabbage has more calcium, iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc. On the other hand, white contains a tiny amount more copper.
Adding up the sections shows a clear overall win for red, but do enjoy either or both, as diversity is good!
Today was one of those cases where red just makes white look bad by standing next to it, but honestly, white has lots of all those same things too, just not quite as much as red, and this writer will continue to use white when making her favorite shchi 🥬💕
Want to learn more?
You might also like:
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