{"id":801,"date":"2024-09-10T02:57:57","date_gmt":"2024-09-10T02:57:57","guid":{"rendered":"https:\/\/trust.ph\/?post_type=methods&#038;p=801"},"modified":"2026-03-25T10:17:15","modified_gmt":"2026-03-25T02:17:15","slug":"bilateral-tubal-ligation","status":"publish","type":"methods","link":"https:\/\/trust.ph\/fil\/methods\/bilateral-tubal-ligation\/","title":{"rendered":"Bilateral Tubal Ligation (BTL)"},"content":{"rendered":"<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-medium-font-size\"><\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-medium-font-size\">Ano ito?<\/h3>\n\n\n\n<p>Ang bilateral tubal ligation (BTL), na karaniwang kilala bilang &#039;tubes tied,&#039; ay isang permanenteng anyo ng babaeng isterilisasyon. Kabilang dito ang pagsasara o pagharang sa parehong fallopian tubes sa pamamagitan ng operasyon, na pumipigil sa mga itlog mula sa paglalakbay mula sa mga obaryo patungo sa matris at sa gayon ay pinipigilan ang pagbubuntis. Ang BTL ay isang ligtas at lubos na epektibong opsyon para sa mga kababaihan na tiyak na ayaw na nila ng mas maraming bata, na nag-aalok ng permanenteng solusyon na may mataas na mga rate ng tagumpay.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Paano ito gumagana?<\/h3>\n\n\n\n<p>Ang BTL (Bilateral Tubal Ligation) ay isinasagawa gamit ang lokal na anesthesia. Isang maliit na hiwa ang ginagawa malapit sa pusod. Pagkatapos, pinuputol ang mga fallopian tubes at ang mga dulo nito ay tinatahi o tinatali. Ang mga hiwa ay isinara gamit ang mga tahi.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Gaano kaepektibo ang method na ito?<\/h3>\n\n\n\n<p>Ang method na ito ay higit sa 99% epektibo. Mababa rin ang failure rate nito. Ibig sabihin, mas mababa sa 1 sa 200 na kababaihan ang nabubuntis pagkatapos ng pamamaraan.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\t\t<div data-elementor-type=\"container\" data-elementor-id=\"3406\" class=\"elementor elementor-3406\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3dd7bb12 e-grid e-con-boxed e-con e-parent\" data-id=\"3dd7bb12\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7b14d50a e-con-full e-flex e-con e-child\" data-id=\"7b14d50a\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6fabd13b e-con-full e-flex e-con e-child\" data-id=\"6fabd13b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a9fd972 pros_heading elementor-widget elementor-widget-heading\" data-id=\"a9fd972\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Mga pros<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-791d6d19 comparison_pros elementor-widget elementor-widget-text-editor\" data-id=\"791d6d19\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li>Hindi nakakaapekto sa hormone levels o menstrual cycles<\/li>\n<li>Pinabababa nito ang panganib ng ovarian cancer<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-629e59ba e-con-full e-flex e-con e-child\" data-id=\"629e59ba\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-b853d4f e-con-full e-flex e-con e-child\" data-id=\"b853d4f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2391886d cons_heading elementor-widget elementor-widget-heading\" data-id=\"2391886d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Cons<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5673833a comparison_pros elementor-widget elementor-widget-text-editor\" data-id=\"5673833a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li>Ang reversal ay maaaring mahirap at hindi laging matagumpay<\/li>\n<li>Maaaring may mga panganib na kaugnay sa operasyon tulad ng pagdurugo at impeksyon<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Myths and Misconceptions<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full mnm-img\"><img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"584\" src=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1.jpg\" alt=\"\" class=\"wp-image-25125\" srcset=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1.jpg 600w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1-300x292.jpg 300w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1-12x12.jpg 12w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full mnm-img\"><img decoding=\"async\" width=\"600\" height=\"584\" src=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-2.jpg\" alt=\"\" class=\"wp-image-25126\" srcset=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-2.jpg 600w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-2-300x292.jpg 300w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-2-12x12.jpg 12w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full mnm-img\"><img decoding=\"async\" width=\"600\" height=\"584\" src=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-3.jpg\" alt=\"\" class=\"wp-image-25127\" srcset=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-3.jpg 600w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-3-300x292.jpg 300w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-3-12x12.jpg 12w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full mnm-img\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"584\" src=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-4.jpg\" alt=\"\" class=\"wp-image-25128\" srcset=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-4.jpg 600w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-4-300x292.jpg 300w, https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-4-12x12.jpg 12w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\"><a href=\"https:\/\/dktphilsfoundation.org\/\" data-type=\"link\" data-id=\"https:\/\/dktphilsfoundation.org\/\">DKT Philippines Foundation<\/a><\/h3>\n\n\n\n<p>Ito ang tanging outreach service sa Pilipinas na nag-aalok ng libreng Bilateral Tubal Ligation (BTL) at komprehensibong pagpapayo tungkol sa modernong kontrasepsyon, kabilang ang mga pills, injectables, at condoms. Sa pamamagitan ng pakikipagtulungan sa mga lokal na pamahalaan (LGUs) at mga organisasyon ng family planning, nagbibigay ang DKT Philippines Foundation ng mga serbisyo kasama ang aming partner facilities, pati na rin sa SODEX Mobile Clinic upang matiyak na lahat ng Pilipino, anuman ang lokasyon o katayuan sa buhay, ay may access sa mataas na kalidad ng family planning.\nKung interesado kang mag-avail ng LIBRENG BTL o bilateral tubal ligation, mag-message lamang sa DKT Philippines Foundation sa Facebook.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Kung interesadong mag-avail ng LIBRENG BTL o bilateral tubal ligation, mangyaring mag-message sa DKT Philippines Foundation sa <a href=\"https:\/\/www.facebook.com\/dktphilsfoundation\/\" target=\"_blank\" rel=\"noopener\">Facebook<\/a><\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-color has-link-color has-medium-font-size wp-elements-bbfad5f14032c205d15e63f86ceb2e57\" style=\"color:#410074\"><strong>Sanggunian:<\/strong><\/h3>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Family Planning Handbook. (n.d.) <em>Chapter 12: Female sterilization<\/em>. Retrieved August 22, 2024, from<\/strong><a href=\"https:\/\/fphandbook.org\/chapter-12-female-sterilization\"> <\/a><a href=\"https:\/\/fphandbook.org\/chapter-12-female-sterilization\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/fphandbook.org\/chapter-12-female-sterilization<\/a><\/p>\n\n\n\n<p><strong>Mayo Clinic. (n.d.) <em>. Tubal ligation: What you can expect<\/em>. Retrieved August 27, 2024, from<a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/tubal-ligation\/about\/pac-20388360\u200b:contentReference%5Boaicite:0%5D%7Bindex=0%7D\"> <\/a><\/strong><a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/tubal-ligation\/about\/pac-20388360\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.mayoclinic.org\/tests-procedures\/tubal-ligation\/about\/pac-20388360<\/a><a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/tubal-ligation\/about\/pac-20388360\u200b:contentReference%5Boaicite:0%5D%7Bindex=0%7D\"><\/a><\/p>\n\n\n\n<p><strong>University of Utah Health. (n.d.). <em>Tubal ligation: What to expect, effectiveness, &amp; recovery<\/em>. Retrieved August 27, 2024, from<\/strong> <a href=\"https:\/\/healthcare.utah.edu\/womens-health\/gynecology\/surgery\/tubal-ligation\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/healthcare.utah.edu\/womens-health\/gynecology\/surgery\/tubal-ligation<\/a><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Permanenteng babaeng isterilisasyon<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sa pamamagitan ng operasyon, isinasara o hinaharangan ang parehong fallopian tubes upang maiwasan ang pagbubuntis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ligtas at lubos na epektibo para sa mga kababaihan na ayaw ng maraming anak.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ginawa gamit ang lokal na kawalan ng pakiramdam<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maliit na hiwa malapit sa pusod; ang mga fallopian tube ay pinutol at tinatakan.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Higit sa 99% na epektibo sa pagpigil sa pagbubuntis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mas kaunti sa 1 sa 200 kababaihan ang maaaring mabuntis pagkatapos ng pamamaraan.<\/span><\/li>\n<\/ul>","protected":false},"author":9,"featured_media":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[16],"tags":[27,28,29,30],"class_list":["post-801","methods","type-methods","status-publish","hentry","category-contraceptives","tag-contraceptive-method-1","tag-contraceptive-method-2","tag-contraceptive-method-3","tag-contraceptive-method-4"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bilateral Tubal Ligation (BTL) - TRUST.ph<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/trust.ph\/fil\/methods\/bilateral-tubal-ligation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bilateral Tubal Ligation (BTL) - TRUST.ph\" \/>\n<meta property=\"og:description\" content=\"Permanent female sterilization Surgically closes or blocks both fallopian tubes to prevent pregnancy. Safe and highly effective for women who don&rsquo;t want more children. Performed with local anesthesia Small incision near the navel; fallopian tubes are cut and sealed. Over 99% effective in preventing pregnancy. Fewer than 1 in 200 women may become pregnant post-procedure.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/trust.ph\/fil\/methods\/bilateral-tubal-ligation\/\" \/>\n<meta property=\"og:site_name\" content=\"TRUST.ph\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-25T02:17:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"584\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/\",\"url\":\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/\",\"name\":\"Bilateral Tubal Ligation (BTL) - TRUST.ph\",\"isPartOf\":{\"@id\":\"https:\/\/trust.ph\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1.jpg\",\"datePublished\":\"2024-09-10T02:57:57+00:00\",\"dateModified\":\"2026-03-25T02:17:15+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/#breadcrumb\"},\"inLanguage\":\"tl\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"tl\",\"@id\":\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/#primaryimage\",\"url\":\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1.jpg\",\"contentUrl\":\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/09\/Bilateral-Tubal-Ligation-1.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/trust.ph\/methods\/bilateral-tubal-ligation\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/trust.ph\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Methods\",\"item\":\"https:\/\/trust.ph\/methods\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Bilateral Tubal Ligation (BTL)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/trust.ph\/#website\",\"url\":\"https:\/\/trust.ph\/\",\"name\":\"TRUST.ph\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/trust.ph\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/trust.ph\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"tl\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/trust.ph\/#organization\",\"name\":\"TRUST.ph\",\"url\":\"https:\/\/trust.ph\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"tl\",\"@id\":\"https:\/\/trust.ph\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/07\/dir-logo.png\",\"contentUrl\":\"https:\/\/trust.ph\/wp-content\/uploads\/2024\/07\/dir-logo.png\",\"width\":354,\"height\":84,\"caption\":\"TRUST.ph\"},\"image\":{\"@id\":\"https:\/\/trust.ph\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Bilateral Tubal Ligation (BTL) - TRUST.ph","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/trust.ph\/fil\/methods\/bilateral-tubal-ligation\/","og_locale":"en_US","og_type":"article","og_title":"Bilateral Tubal Ligation (BTL) - TRUST.ph","og_description":"Permanent female sterilization Surgically closes or blocks both fallopian tubes to prevent pregnancy. Safe and highly effective for women who don&rsquo;t want more children. Performed with local anesthesia Small incision near the navel; fallopian tubes are cut and sealed. Over 99% effective in preventing pregnancy. 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