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Laparoscopic female sterilization

Authors
Kari P Braaten, MD, MPH
Caryn Dutton, MD, MS
Section Editors
Tommaso Falcone, MD, FRCSC, FACOG
Jody Steinauer, MD, MAS
Deputy Editor
Sandy J Falk, MD, FACOG

INTRODUCTION

Female sterilization (also referred to as tubal ligation) includes a number of different procedures and techniques that provide permanent contraception for women. The most common techniques prevent pregnancy by disrupting the patency of the fallopian tubes [1]. This prevents conception by blocking transport of sperm from the lower genital tract to an ovulated oocyte.

Female sterilization may be performed immediately after childbirth (postpartum sterilization) or at a time unrelated to a pregnancy (interval sterilization). Most postpartum sterilization procedures are performed at time of cesarean delivery or after a vaginal delivery via mini-laparotomy. Most interval sterilization procedures are performed via laparoscopy.

This topic review will focus on female laparoscopic sterilization. An overview of general principles of female sterilization as well as postpartum sterilization and hysteroscopic sterilization are discussed separately. (See "Overview of female sterilization" and "Postpartum sterilization" and "Hysteroscopic sterilization".)

INDICATIONS AND CONTRAINDICATIONS

The only indication for sterilization is the patient's desire for permanent contraception. Ultimately, the choice is made by the patient, but the decision requires thorough counseling about permanent sterility and the risk of regret.

There are no medical conditions that are strictly incompatible with laparoscopic sterilization; however, there may be factors that make women more suitable for a particular route of sterilization or other contraceptive options. (See "Overview of female sterilization", section on 'Assessing surgical risk'.)

                               

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Literature review current through: Jul 2016. | This topic last updated: Dec 21, 2015.
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