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Chapter 21 - Female and Male Sterilization

from Section 4 - Contraception and STIs

Published online by Cambridge University Press:  24 November 2021

By
Gary Stuart Middleton  and
Tahir Mahmood
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

Female and male sterilization is an important and widely used method of contraception. While a safe and effective procedure, given its permanent nature care has to be taken when counselling men and women for this procedure to reduce the incidence of regret and reversal. Detailed discussion with both sexes regarding the risks of sterilization procedures and of alternative methods of contraception, such as long-acting reversible contraceptives (LARCs), is vital to allow fully informed consent. Laparoscopic sterilization is a popular method of female sterilization and is associated with low complication rates. Minimally invasive vasectomy (MIV), performed under local anaesthetic in the outpatient setting, is becoming the gold standard technique for male sterilization and results in fewer operative complications and less postoperative pain than more traditional methods. Hopefully further research into hysteroscopic sterilization techniques will allow this to become a more accessible and safer method of permanent contraception for women.

Keywords

sterilizationvasectomylaparoscopic
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 170 - 174
Publisher: Cambridge University Press
Print publication year: 2021

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References

FSRH Clinical Effectiveness Unit. Male and Female Sterilisation. London: Faculty of Sexual and Reproductive Health, 2014.Google Scholar
National Institute for Health and Care Excellence. Long-acting reversible contraception. Clinical guideline 30. 2005.Google Scholar
Melville, C, Bigrigg, A. Male and female sterilisation. Obstet Gynaecol Reprod Med 2008;18:330–334.CrossRefGoogle Scholar
Jayaraman, S, Mann, M. Male and female sterilisation. Obstet Gynaecol Reprod Med 2012;22:85–91.Google Scholar
McKay, R, Schunmann, C. Male and female sterilisation. Obstet Gynaecol Reprod Med 2017;27:373–378.CrossRefGoogle Scholar
Royal College of Onstetricians and Gynaecologists. Laparoscopic injuries. Green-top Guideline No. 49. 2008.Google Scholar
Murthy, P, Edwards, J, Pathak, M. Update on hysteroscopic sterilisation. Obstet Gynecol 2017;19:227–235.Google Scholar
Duffy, S, Marsh, F, Rogerson, L, et al. Female sterilisation: a cohort controlled comparative study of ESSURE versus laparoscopic sterilisation. BJOG 2005;112:1522–1528.Google Scholar
Madari, S, Varma, R, Gupta, J. A comparison of the modified Pomeroy tubal ligation and Filshie clips for immediate postpartum sterilisation: a systematic review. Eur J Contracept Reprod Health Care 2011;16:341–349.CrossRefGoogle ScholarPubMed
Harrison, MS, DiNapoli, MN, Westhoff, CL. Reducing postoperative pain after tubal ligation with rings or clips: a systematic review and meta-analysis. Obstet Gynecol 2014;124:68–75.Google Scholar
Peterson, HB, Xia, Z, Hughes, JM, et al. The risk of pregnancy after tubal sterilization: findings from the U.S. Collaborative Review of Sterilization. Am J Obstet Gynecol 1996;174:1161–1168.Google Scholar
Peterson, HB, Jeng, G, Folger, SG, et al. The risk of menstrual abnormalities after tubal sterilization: US Collaborative Review of Sterilization Working Group. N Engl J Med 2000;343:1681–1687.CrossRefGoogle ScholarPubMed
Hillis, SD, Marchbanks, PA, Tylor, LR, Peterson, HB. Poststerilization regret: findings from the United States Collaborative Review of Sterilization. Obstet Gynecol 1999;93:889–895.Google ScholarPubMed
Brechin, S, Birgrigg, A. Male and female sterilisation. Curr Obstet Gynecol 2003;13:38–44.CrossRefGoogle Scholar
Dohle, GR, Dierner, T, Kopa, Z, et al. European Association of Urology guidelines on vasectomy. Eur Urol 2002;61:159–163.Google Scholar
Li, SQ, Goldstein, M, Zhu, J, Huber, D. The no-scalpel vasectomy. J Urol 1991;145:341–344.CrossRefGoogle ScholarPubMed

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