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Sterilisation in women is the most requested contraception technique worldwide. It is a permanent method of birth control and involves blocking or cutting the fallopian tubes. This is a minor surgery carried out under general anaesthesia or sometimes under local anaesthesia. It is a very effective method of contraception with a success rate of more than 99%.


The technique Kyler Murray Jersey , timing and setting of the operation have progressively changed since the early 1970 and the advent of minimally invasive surgery. The most appropriate method of female sterilisation in a particular family is often determined by local situations and constraints. According to Cochrane review, the decision which method to choose should be a multifactorial one Oklahoma Sooners Jersey , depending on the setting, the surgeons experience and the woman preference.


How Sterilisation can prevent pregnancy?
As sterilisation procedure involves blocking the fallopian tubes it occludes the pathway for eggs to reach the tube to the sperm and get fertilised. As the ovaries are not affected by sterilisation therefore menstrual cycles are not altered.


How is Female Sterilisation done?
This can be performed by the following techniques ?br >1) Occlusion of Fallopian Tubes which is carried by either applying titanium clips over the tubes or by applying silicone rings after making a small loop in the tube or by inserting a titanium microinsert into the fallopian tubes.
2) By cutting a part of the tube after tying a loop (tubectomy).


These techniques can be used through the following different approaches
1) Laparoscopy?This is most commonly used Eddie George Jersey , safe and convenient method. In this one or two small cuts are made near the belly button and a laparoscope (a narrow tube with light source and camera) is introduced through which surgeon examines the internal organs and carries out sterilisation procedure.
2) Minilaparotomy ?a small incision is given in lower abdomen near pubic hairline. This is done in that case where laparoscopy is not possible.
3) Hysteroscopic Sterilisation ?carried out by introducing a hysteroscope (a narrow tube with light source and camera) through vagina and cervix. A guidewire is used to insert a titanium microinsert into fallopian tube through the hysteroscope under local anaesthesia.


Why is Sterilisation done?
Since it a permanent method of contraception it is recommended for those women who have completed their family and don desire to have more children. Therefore counselling of the couple is very important. It is recommended that the woman should be married, be above 22 years of age and below 49 years and the couple should have at least one child.


Is it a good birth control measure?
Female sterilisation is a safe procedure and has very low rate (2%) of complications which when diagnosed immediately can be treated effectively. Both the procedures (tubectomy and tubal occlusion) have a small risk of failure rate which is less than 1 pregnancy per 100 women in first year after sterilisation. Thus it is an ideal method for those who have completed their family.

1st Case Study:
Date SV Ohio State Buckeyes Jersey , Rokade J, Mule V Ian Book Jersey , Dandapannavar S. Female sterilisation failure: Review over a decade and its clinicopathological correlation. Int J App Basic Med Res 2014; 4:81-5

Summary:
We hereby present a summary of a retrospective analysis carried out by Date et al in 2014 in which they present their findings on the failure rate of various types of sterilization techniques done during the period of 10 years from April 2002 to March 2012.

During the period 140 women have reported to the institution as tubal sterilization-failure making an average of 14 casesyear.


The sterilisation techniques that were covered in the study included mini laparotomy (minilap), laparoscopic (Lap TL) and lower segment cesarean section (LSCS) tubal ligation. These constitute the majority of sterilisation types that are performed in India. Minilap failure constituted 59% followed by Lap TL - 38% and LSCS - 3%. The Sterilisation-failure interval was 10 years in eight patients (5.71%). The longest documented sterilisation-failure interval was 20 years in our study presented with ruptured ectopic.


A greater proportion of early failures (
More About the Author
Dr. Shivani Sachdev Gour Josh Adams Jersey , Founder & Director of SCI Healthcare, SCI IVF is a state of the art fertility centre located in Kailash Colony Everett Golson Jersey , New Delhi.
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