Ligation is more harmful to a woman than banding, and it involves surgery, either open or laparoscopic. Either way, it is more damaging to the woman’s body, and there is a risk of damage to the tubal lining during the procedure, leading to bleeding and hematoma. There is also a risk of infection during and after the procedure. If the procedure is not performed carefully and roughly, it can also lead to damage to the bladder and bowel. The IUD is a very minor operation, as long as the ring is inserted inside the uterine cavity. The most common side effects are changes in menstruation, which are characterized by prolonged periods and heavier menstrual periods, which will be alleviated three months after the IUD is inserted.