Male and female sterilization |
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| Authors: | Sabitha Jayaraman Melanie Mann |
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| Affiliation: | 1. Ibis Reproductive Health, Cambridge, MA 02138 USA;2. University of Zimbabwe College of Health Sciences, Harare, Zimbabwe;3. HIV Research Unit, Medical Research Council, Westville, 3630, South Africa;4. University of California, San Francisco, Department of Obstetrics, Gynecology & Reproductive Sciences, San Francisco, CA, USA 94143–0744;1. The Center for Human Reproduction, New York, NY, USA;2. Wake Forest School of Medicine, Winston-Salem, NC, USA;3. Wyckoff Heights Medical Center, New York, NY, USA;4. Foundation for Reproductive Medicine, New York, NY, USA;5. Department of Obstetrics and Gynecology, University of Vienna School of Medicine, Vienna, Austria;6. The Rockefeller University, New York, NY, USA;1. Department of Obstetrics and Gynecology, Oregon Health and Science University, Mail Code L-466, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, United States;2. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Duke University, 20 Duke Medicine Cir, Durham, NC 27710, United States;3. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, 200 1st Ave SW, Rochester, MN 55902, United States;4. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University, 456 W 10th Ave, Columbus, OH 43210, United States;5. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 1700 6th Ave S., Rm 10250, Birmingham, AL 35233, United States;6. Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health and Science University, Mail Code L-466, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, United States;7. Section of Family Planning, Department of Obstetrics and Gynecology, Oregon Health and Science University, Mail Code L-466, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, United States |
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| Abstract: | Male and Female sterilization are permanent methods of contraception.While female sterilization is far more common than male sterilization, vasectomy is safer, simpler, about half the cost of female sterilization, and is more effective. Female sterilization, in the form of laparoscopic sterilization is the more common procedure being done. Recently transcervical or hysteroscopic sterilization has been developed and is a less invasive procedure. However the data on long-term effectiveness of this new method is keenly awaited. As sterilization is a surgical procedure that is intended to be permanent, special care must be taken to assure that every client makes a voluntary, informed choice. All clients should be carefully counselled about the intended permanence of sterilization. Information regarding availability of alternative, long acting reversible methods of contraception that are not only effective and also have other medical benefits should be discussed. |
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