Permanent methods of contraception

Permanent methods of contraception or sterilization is a way to prevent pregnancy by a permanent method.In men the procedure is known as Vasectomy and in women it is known as Tubectomy.

These procedures are extremely effective in preventing pregnancy and difficult to reverse.So the decision to opt for such procedures are generally advised after the family is complete and no more children are desired.

Vasectomy-It is surgical procedure that involves cutting and ligating the tubes that carry sperm. It does not allow the sperms to travel from testes to the final ejaculate hence prevent chances of pregnancy.It generally takes approximately 3 months for the procedure to be fully effective.

For that period of time an alternate method of contraception like condoms are recommended to prevent pregnancy.

Tubectomy-.Tubal ligation is a surgical procedure in which path between the ovaries and the uterus is cut and ligated. The egg cannot reach the uterus, naturally the sperm cannot fertilize the egg.

A sterilization implant is a non-surgical method for permanently blocking the fallopian tubes. The doctor places a coil in each Fallopian tube through the vagina and uterus block each tube completely. It may take up to 3 months to completely block the tubes.

Advantages of permanent contraception

1.Immediate and effective against unexpected pregnancy.

2.Does not involve any hormone and procedure is quick and permanent.

3.No change in libido,menstrual cycle or breast feeding.

4.Cost effective and does not involve daily attention.

5.Prevents pregnancy in women,in case of any serious medical risks involved with further pregnancies

Disadvantages of permanent contraception

1.Does not protect from sexually transmitted disease.

2.Sterilization is permanent. Though reversal is possible, it is expensive, complicated, and it doesn’t always work.

3.Some people may regret after such procedures as people feel they do not have the option to produce biological children.

4.Short term discomfort may be there after the procedure.

5.An alternate contraceptive method may be required after vasectomy for 3 months

Tubal Ligation Vs. Vasectomy

When couples do not wish to have more children then permanent surgical sterilization is the most probable option.Permanent sterilization is the most effective method of contraception in this case.

Women have the option of having a tubal ligation, while men may choose to have a vasectomy performed.

The most common method of permanent sterilization is tubal ligation in India. However, this may be due to the fact that couples do not realize that vasectomy involves far less risk to men than the risks associated with tubal ligation for women.

Vasectomy is a 30 minute procedure performed in the physician’s office. Tubal ligation is performed in a hospital setting, most often on a day surgery unit.

Vasectomy procedure is a simpler medical procedure than Tubectomy.

Recovery from vasectomy usually requires only refraining from heavy physical activity for approximately 48 hours; tubal ligation requires women to limit physical activity and heavy lifting for at least one week following surgery.

The failure rate for vasectomy is about 1 percent. The failure rate for tubal ligation is slightly higher at about 2 percent which is about 1 pregnancy in 1000 women who’ve undergone this procedure.

It is important to discuss with your doctor about the procedures in detail and the method suitable to the couple. An informed choice,well suited to the situations prevent unnecessary guilt in future and helps in enjoying relationships without worry of unexpected pregnancies.

-Dr Prerna Gaur



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