Abstract
Male and female sterilization are important forms of contraception worldwide despite
declining popularity in developed countries. Vasectomy is the only highly reliable
form of male contraception. Appropriate counselling about permanent methods of contraception
in both sexes is vital and should include information about irreversibility, failure
rates and complications. The alternatives to sterilization, particularly Long Acting
Reversible Contraception (LARC) should be discussed in detail as they are at least
as effective or more effective and have the advantage of reversibility. Hysteroscopic
rather than laparoscopic techniques for female sterilization are more cost effective
but are limited in their availability. In males the no-scalpel technique vasectomy
requires minimal operating time and results in less post-operative discomfort than
the incisional method. Regret after sterilization and requests for reversal are more
common in patients under 30 years and in men with no children.
Keywords
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Further reading
- Male and female sterilisation. National evidence-based clinical guideline number 4.RCOG Press, London2004
- Laparoscopic injuries. Green Top Guideline 49.RCOG Press, London2008
- Laparoscopic tubal occlusion. Consent advice 3.RCOG Press, London2004
- The distal fallopian tube as the origin of non-uterine pelvic high-grade serous carcinomas. Scientific impact paper 44.RCOG Press, LondonNovember 2014
- Interventional procedure overview of hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implant.NICE, London2009
- Female sterilisation: a cohort controlled comparative study of ESSURE versus laparoscopic sterilisation.BJOG. 2005; 112: 1522-1528
- European association of urology.Eur Urol. 2012; 61 (61(2011)): 159-169
Vasectomy, World Health organization essential surgical care manual.
- Scalpel versus no-scalpel incision for vasectomy.Cochrane Database Syst Rev. 2007; (Issue 2. Art. No.: CD004112)https://doi.org/10.1002/14651858.CD004112.pub3
- Long-acting reversible contraception.NICE, London2005
- Contraception services with a focus on young people up to the age of 25.NICE Public Health Guidance 51, 2014
Article info
Publication history
Published online: March 14, 2015
Identification
Copyright
© 2015 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
