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Sterilization (sex)

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Template:Infobox Birth control

Sterilization (also spelled sterilisation) refers to any of a number of medical techniques that intentionally leave a person unable to reproduce. It is a method of birth control. For other causes of sterility, see infertility.

Sterilization methods include both surgical and non-surgical, and exist for both males and females. Sterilization procedures are intended to be permanent; reversal is generally difficult or impossible.

MethodsEdit

SurgicalEdit

Surgical sterilization methods include:

TransluminalEdit

Transluminal procedures are performed by entry through the female reproductive tract. These generally use a catheter to place a substance into the Fallopian tubes that eventually causes blockage of the tract in this segment. Such procedures are generally called non-surgical as they use natural orifices and thereby do not necessitate any surgical incision.

  • The Essure procedure is one such transluminal sterilization technique. In this procedure, polyethylene terephthalate fiber inserts are placed into the fallopian tubes, eventually inducing scarring and occlusion of the tubes. Following successful insertion and occlusional response, the Essure procedure is 99.74% effective based on 5 years of follow-up, with zero pregnancies reported in clinical trials.[1][2]
  • Quinacrine has also been used for transluminal sterilization, but despite a multitude of clinical studies on the use of quinacrine and female sterilization, no randomized, controlled trials have been reported to date and there is some controversy over its use.[3]

PharmacologicalEdit

There is no working "sterilization pill" that causes permanent inability to reproduce, although there have been hoaxes involving fictitious drugs that would purportedly have such effects, notably progesterex.

Psychological effectsEdit

Most people undergoing sterilization experience no change in sexual activity, quality of marital relationships or work-related behavior.[4] Few regret their choice.[4] Risk factors for negative consequences after sterilization include:[4]

  • being coerced into the procedure
  • lacking understanding of the consequences of the procedure
  • having health complications after the procedure
  • having an unstable marriage, as it increases the risk of divorce followed by a new relationship in which the couple desires to have children
  • disagreeing with partner about the decision to perform sterilization

See alsoEdit

ReferencesEdit

  1. Clinical Testing. Essure. Conceptus. URL accessed on 2006-12-12.
  2. Smith RD (January 2010). Contemporary hysteroscopic methods for female sterilization. Int J Gynaecol Obstet 108 (1): 79–84.
  3. Drugs.com --> Quinacrine. Retrieved on August 24, 2009
  4. 4.0 4.1 4.2 http://www.jstor.org/pss/1965814 PMID 3983979 (PMID 3983979)
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External links Edit

Template:Birth control methods


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