Tuesday, February 12, 2013

Contraception: Have you considered sterilization?

Did you know that sterilization ? male and female ? is the most commonly used birth control method on a worldwide scale? There are many advantages of the male vasectomy and tubal ligation for women, but only for individuals who are very sure that they do not want to have children later on in life. Today, we?ll examine some of the things you?ll want to know about various sterilization methods before choosing to undergo such a procedure.

Thanks to chrisinplymouth/Flickr Creative Commons.

Vasectomy facts

The modern vasectomy is a very quick and risk-free procedure. Though you may refer to it as surgery, there really isn?t any surgery involved: this procedure needs no scalpel or sutures, and works by making a small puncture in the scrotum to reach the vas deferens. The vas deferens are the thin tubes that lead sperm from the testicles to the penis, severing them makes the male ejaculate sperm-free.

A vasectomy can be over and done with within 10 minutes, and all you?ll need is a local anesthetic! A vasectomy isn?t immediately effective, however ? sperm may still be present in the part of the vas deferens that is attached to the penile side, and having intercourse following the procedure may still lead to pregnancy. Most healthcare providers will advise men who have just had a vasectomy to wait for three months before having unprotected intercourse. You can use condoms in the interim period, after you have recovered from your vasectomy procedure. After the three months are up, every man should have a sperm analysis carried out to confirm that he is now sterile.

Vasectomy is a low-risk procedure that is very effective, but only once you have received confirmation that you do not have any sperm in your ejaculate any more. It is interesting to note that many of the men who got their partner pregnant despite having a vasectomy never went back for that sperm analysis.

Tubal ligation for women

A tubal ligation involves the severing and possibly tying of the fallopian tubes to prevent mature eggs released during ovulation from meeting with sperm. There are three basic methods ? surgical tubal ligation following a cesarean section, laparoscopic tubal ligation done through small incisions in the abdomen, and inserting small implants into the tubes through the cervix (Adiana and Essure).

The overall failure rate of a tubal ligation is around 0.5 percent, but the risk increases over time. It is interesting to keep in mind that the failure rate of the mirena intrauterine device is actually lower, at 0.5 percent, though the mirena does need to be replaced every five years. The Essure tubal ligation method may be even more effective ? there hasn?t been a single pregnancy reported to date with this method. As an added bonus, the placement procedure is less invasive than with a traditional tubal ligation.

Studies show that many women regret having a tubal ligation carried out ? 20 percent of women under 30 regret their sterilization later on, while six percent of those over 30 wish they had not had their tubes tied. A tubal ligation can be a fantastic birth control method, especially for women who are married or in a monogamous relationship, and who do not ever want to think about birth control again. But, it is a very serious and basically irreversible procedure.

Vasectomy vs tubal ligation

Both a vasectomy and a tubal ligation give a couple that does not want to get pregnant again, at any time in the future, permanent peace of mind. Both methods are very effective, meaning there is a very small chance that you will get pregnant despite having either method carried out. Both methods come with an easy and quick recovery, and the risks involved with both surgeries are very low.

A vasectomy is a cheaper and less invasive procedure than a tubal ligation. It may be helpful to keep in mind that a total anesthesia is generally used during a tubal ligation, and that there are risks associated with the anesthesia itself that do not apply to a vasectomy, because that doesn?t need anything beyond local anesthesia.

Both male and female sterilization can be truly good options. However, it is always important to keep in mind that these procedures are designed to be permanent.?There are reversal procedure procedures for both vasectomy and tubal ligation, but these are not always effective. Any person with any doubt whatsoever about wanting to conceive in the future should not undergo a sterilization.

For more specific information about irreversible contraceptives, see Permanent birth control options.

Source: http://www.trying-to-conceive.com/fertility/birth-control/contraception-have-you-considered-sterilization/

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