Background: Tubal ligation, recognized as a surgical intervention that ensures permanent contraception, has established itself as an option for women seeking a definitive solution for family planning. Objective: To assess the psychosexual implications of tubal ligation in a sample of women in Baghdad, Iraq. Methods: A prospective cohort study was conducted in a teaching hospital for 2 years, from the first of January 2022 to the end of December 2023, in which 203 women who underwent tubal ligation were included. Results: In the present study, we found that 158 (77.8%) had no depression, mild depression presented in 27 (13.3%), and moderate depression in only 15 (7.4%). While 163 (80.3%) of women did not suffer from anxiety, 32 (15.8%) had mild to moderate anxiety, and only 8 (3.9%) were presented with severe anxiety. 27 (13.3%) have changed in coital frequency this this week. 49 (24.2%) have a change in sexual desire, a change in pleasure, and 37 (18.2%) suffer from a change in orgasm. Conclusions: The current study concluded that there are noticeable psychosexual effects of tubal ligation in women.
