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