permanent contraception
vasectomy and tubal ligation
(almost 100%) Cut and tie the vas deferens or cut and tie the fallopian tubes - prevents the possibility of pregnancy. These 2 methods have the lowest failure rate.
method tubal ligation
1. abdominal 2. laparoscopic 3. via hesteroscopy
Vasectomy (male)
Almost 100% eff. Adv. Permanent, short recovery time. decrease ectopic pregnancy, cost effective, non hormonal Disadv. surgery, not immediate, no STI prot., non reversible,
vasectomy disadvantages
Permanent Surgical risks Regret Expense Lack of STI protection 1/3 to 1/2 complain of occasional testicular pain after procedure Not fully effective for up to 12 weeks after procedure
tubal ligation
a surgical sterilization procedure in which the fallopian tubes are sealed or cut to prevent sperm from reaching a mature ovum
vasectomy
bilateral surgical removal of a part of the vas deferens
advantages of tubal ligation
can be performed 48hrs post partum
tubal ligation contraindication
contraindication to anesthesia or positioning obesity adhesive disease from prior surgery
advantages of tubal ligation
enjoy sex dt reduced worry of pregnancy decrease risk of ovarian cancer
laparoscopic tubal ligation
fiber optic laparoscope inserted through a small incision --usually near the umbilicus tubal continuity is interrupted by applying cautery, rings, or clips opportunity to inspect abdominal cavity and pelvic organs small incisions immediately effect general anesthesia OR setting
tubal ligation complications
infection, wound separation major such as hemorrhaging, viscous injury anesthesia complications
vasectomy not popular
lack of aceess misconception not covered by Medicare or Medicaid
tubal ligation
most common form of female sterilization as a contraceptive measure. 3to1 comparing to male sterilization
hysteroscopy tubal ligation
opportunity to inspect uterine cavity no incisions effective after 3 month local or general anesthesia office or OR setting
Abdominal tubal sterilization
opportunity to see abdominal and pelvic organ small incisions local or general anesthesia operating room settings
tubal ligation (female) or vasectomy (male)
patient says: tubes tied
disadvantages of tubal ligation
regret invasive procedures does not prevent STI
misconception of vasectomy
sexually function, cancer, castration
female sterilization
tubal ligation