So, not tubal litigation, however, my sister and I both have PCOS (polycystic ovarian syndrome). Her got to a point where it was causing her severe health problems. She had a procedure done, I forget that name, however, they go in, cauterize the uterus, and in another procedure, put a wire spring looking things in the uterine tubes. It's a permanent solution, and there is no hospital stay. In and out in the same day. She went in Friday and was back to work no problem Monday. It may not work for everyone, but it's another option to throw out.