The euphemistic term “tying your tubes,” actually means the tubes are surgically and permanently severed or scarred to prevent the passage of an egg. That is after all, the goal. Tubal ligation methods may differ in their effectiveness for preventing pregnancy and in the risk of damaging the blood supply to the ovaries. Many women don’t understand that a tubal ligation may cause them to go through perimenopause prematurely. There are structures in the tubes, such as nerves and blood vessels feeding the ovaries, which can be damaged in the procedure. Damage to blood supply can affect the function of the ovaries. At the very least, after tubal ligation, some women begin having heavy bleeding with their periods and they may also develop symptoms akin to perimenopause. Rarely, tubal ligation can lead to premature menopause.