Tubal Ligation No Better Than IUD at Preventing Pregnancy

By Laura Kurtzman - UCSF
February 22, 2022

“IUDs work at least as well as tubal ligation, while causing fewer side effects, according to a new study.

The analysis, based on six years of Medi-Cal claims data, is the first rigorous look at how long-term birth control methods perform in the real world.

This study overturns the widely held assumption that tubal ligation, which requires surgery and is permanent, is more effective than an IUD, which can be easily removed when pregnancy is desired.

Published Feb. 22, 2022, in the Journal of General Internal Medicine, the study found that hormonal IUDs were more effective than tubal ligation at preventing pregnancies, while copper IUDs were as effective.

“Tubal ligation is really no longer the gold standard for pregnancy prevention,” said Eleanor Bimla Schwarz, MD, professor of Medicine at UC San Francisco and chief of the Division of General Internal Medicine at Zuckerberg San Francisco General Hospital.”