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For further information, see CMDT Part 18-10: Contraception

Key Features

  • In the United States, sterilization is the most popular method of birth control for couples who want no more children

  • Vasectomy is a safe, simple procedure in which the vas deferens is severed and sealed through a scrotal incision under local anesthesia

  • Female sterilization is performed via

    • Laparoscopic bipolar electrocoagulation

    • Salpingectomy

    • Plastic ring application on the uterine tubes

    • Minilaparotomy with tubal resection

    • Hysteroscopic transcervical sterilization

  • The cumulative 10-year failure rate for all methods combined is 1.85%, varying from 0.75% for postpartum partial salpingectomy and laparoscopic unipolar coagulation to 3.65% for spring clips

  • Essure, method of transcervical sterilization

    • Involves the placement of an expanding microcoil of titanium into the proximal uterine tube under hysteroscopic guidance

    • As of 2018, no longer marketed due to concerns related to complications and side effects reported by users

    • Should have tubal occlusion confirmed at 3 months with a hysterosalpingogram

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