After interviewing several hundred Puerto Rican women about their birth control choices as part of an HIV/AIDS research project conducted in East Harlem (NY) and Bayamon (PR) it became clear that a majority of the women who had chosen tubal ligation as a birth control method of choice, still referred to the operations as “having had their tubes tied”. None were aware that having them “untied” is not a simple procedure, nor was this explained to them prior to choosing tubal ligation. All of these women were receiving Medicaid, which paid for the procedure. Medicaid does not cover the costs of a reversal.
We interviewed far more men than women, and few of the men had ever even been asked about a vasectomy, and none had the procedure.
My primary concern, is that given the high risks for HIV/AIDS in the population we studied (IVDUs and their sexual partners), there has not been much of an education effort (if any) about the relationship between increased risk of HIV transmission and tubal ligation.]]>