Let’s talk about permanent birth control (Sterilization)
Elective sterilization has become more popular as a method of contraception (birth control). Sterilization can be done at any time or at the time of a cesarean section.
Sterilization is permanent and cannot be reversed. Traditionally sterilization was done by “tying”, burning or placing clips or bands on the fallopian tubes. Recent research has shown a reduction in lifetime risk of ovarian cancer if the fallopian tubes are completely removed (salpingectomy). The fallopian tubes are typically removed laparoscopically where a small camera is placed into the abdomen and instruments are used to remove the fallopian tubes. There are typically 3 small incisions on your abdomen. Recovery times vary but most people are back to regular daily activities in 2-4 weeks. After sterilization your menses will remain the same as before.
The American College of Obstetricians and Gynecologists states the following in regards to sterilization procedures in young individuals or those who have not had children (nulliparous). ACOG Committee Opinion Number 695 (Replaces Committee Opinion Number 371, July 2007. Reaffirmed 2020)
“It is ethically permissible to perform a requested sterilization in nulliparous women and young women who do not wish to have children. A request for sterilization in a young woman without children should not automatically trigger a mental health consultation. Although physicians understandably wish to avoid precipitating sterilization regret in women, they should avoid paternalism as well.”
If you are considering a sterilization procedure or want to discuss any form of contraception, please call our office for a consultation.