en Midwifery Orginal research <p><span style="line-height:2;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="unicode-bidi:embed"><span style="color:#2980b9;"><b><i>Background:</i></b></span> Tubal ligation (TL), with more than 99% effectiveness, is considered an irreversible contraceptive method among many couples.</span><br> <span style="unicode-bidi:embed"><b><i><span style="color:#2980b9;">Objectives:</span> </i></b>This study was conducted to identify the challenges and problems of women after tubal ligation (TL) and its physical, psychosocial, and familial consequences of this method with a qualitative study.</span><br> <span style="color:#2980b9;"><b><i>Methods:</i></b></span><span style="color:black"> This descriptive qualitative study was conducted on 14 sterilized women between the ages of 25 and 40 from March to October 2017 in Rasht, Iran. The participants were selected with a purposeful method. Semi-structured interviews were used to collect data. Qualitative data were analyzed using conventional content analysis.</span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b><i>Results</i>:</b></span><span style="color:#000066;"> </span>The experiences of sterilized women were classified into six main themes: dissatisfaction with sexual and marital life, regret, feelings of resentment and physical-emotional damage, menstrual disorder, feelings of low self-esteem and changes in female identity, disruption of social interactions.</span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b><i>Conclusion:</i></b></span> <strong><span style="font-weight:normal">Sterilized women experienced a </span></strong>wide range of physical, familial, sexual, and social problems after TL. Therefore, it is necessary to provide effective counseling regarding the positive and negative complications of this method when proposing sterilization.</span></span><br> &nbsp;</span></span></p> Qualitative Study, Tubal ligation,Content Analysis 1 12 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-651-2&slc_lang=en&sid=1 Shahideh jahanian Sadatmahalleh shahideh.jahanian@modares.ac.ir 0000-0002-7006-8487 No Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran Samaneh Youseflu s.yoseflu@yahoo.com 0000-0002-8762-2157 No Department of Midwifery and reproductive Health, Isfahan University of Medical Sciences, Isfahan, Iran Saiedeh Ziaie ziaei_sa@modares.ac.ir 0000-0002-6297-9926 Yes Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran Seyedeh Saeedeh Mousavi seyedeh_saiedeh.mousavi@yahoo.com 0000-0002-8786-9224 No Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran