213-610-4518

Sterilization

What is sterilization?

Sterilization is a permanent method of birth control. It is the most popular form of birth control .

What is the sterilization procedure for women?

Tubal sterilization is sterilization for women. In tubal sterilization, the fallopian tubes are removed or cut and tied with special thread, closed shut with bands or clips, sealed with an electric current, or blocked with scar tissue formed by small implants. Tubal sterilization prevents the sperm from reaching the egg to fertilize.

How is tubal sterilization done?

Tubal sterilization can be performed in different ways with a laparoscopy ,minilaparotomy or hysteroscopy.

How effective is laparoscopic sterilization in preventing pregnancy?

  • Laparoscopic sterilization is highly effective depending on how the fallopian tubes are closed, within 10 years after having the procedure pregnancy rates range from 18 to 37 out of 1,000 women

Does tubal sterilization protect against sexually transmitted infections?

  • Tubal sterilization does not protect against sexually transmitted infections(STI), including human immunodeficiency virus . Women at risk of sexually transmitted diseases should also use a male or female condom to protect against these infections.

How is laparoscopic sterilization performed?

In laparoscopy sterilization , an instrument called a laparoscope is inserted through a small incision made in or near the navel. Another small incision made for an instrument to close off or remove the fallopian tubes. The fallopian tubes can be closed off by bands or clips. They also can be cut and closed with a special thread or sealed with an electric current. The laparoscope then is withdrawn and the . incisions are closed with stitches or special tape.

What are the risks associated with laparoscopic sterilization?

Sterilization done by laparoscopy has a low risk of complications. The most common complications are those related to general anesthesia. There is a risk of injury to the bladder,bowel or a major blood vessel. If an electric current is used to seal the fallopian tubes,then there is a risk of burn injury to the skin or bowel. Other risks include bleeding and infection from incisions .
Pregnancy is rare after sterilization. If pregnancy does occur, the risk of an ectopic pregnancy is higher than in women who does not had sterilization.

What are the benefits of laparoscopic sterilization?

Laparoscopy has few benefits over minilaparotomy. Recovery usually is more quicker with fewer complications. It usually is performed as outpatient surgery, means that you can go home the same day. It has some benefits over hysteroscopic sterilization as well. Unlike hysteroscopic sterilization, laparoscopic sterilization is effective right away.

What should I expect after having laparoscopic sterilization?

After surgery, you will be observed for a short time to make sure that there are no problems. Most women can go home 2–4 hours after the procedure. You will need someone to take you home.

You may feel some discomfort or have other symptoms that last a few days:

  • Dizziness
  • Shoulder pain
  • Nausea
  • Abdominal cramps
  • Gassy or bloated feeling

Sore throat (from the breathing tube if general anesthesia was used)
Most women return to their normal routines within 1 week of surgery.

What should I consider when choosing a sterilization method?

Deciding on a method of sterilization involves considering the following factors:

  • Personal choice
  • Medical history
  • Physical factors, such as weight
  • Sometimes previous surgery, obesity, or other conditions may affect which method can be used.

When should sterilization be avoided?

You should avoid making this choice during times of stress such as during a divorce or after losing a pregnancy.. It should be a choice under pressure from a partner or others.

What if I decide I want to become pregnant after I have laparoscopic sterilization?

If you choose to have sterilization and change your mind after the operation, the attempts to reverse it may not work. After tubal sterilization is reversed, many women still are won’t be able to get pregnant. Also, the risk of ectopic pregnancy is increased.

What are some alternatives to sterilization?

Long-acting reversible contraception such as the intrauterine device(IUD) or implant, last for several years. They are as effective at preventing pregnancy as sterilization. They can be removed at any time if you want to become pregnant.