Sterilization
Sterilization is a medical procedure that intentionally leaves a person unable to reproduce. It is a permanent form of birth control.
Types of Sterilization
- Tubal Ligation: A surgical procedure where the fallopian tubes are blocked or cut to prevent eggs from traveling to the uterus.
- Vasectomy: A surgical procedure where the vas deferens, the tubes that carry sperm, are cut or blocked to prevent sperm from reaching the semen.
- Essure: A non-surgical procedure where small coils are inserted into the fallopian tubes to block them and prevent eggs from traveling to the uterus. (Note: Essure is no longer available in the US market)
- Adiana: A non-surgical procedure where a small implant is inserted into the fallopian tubes to block them and prevent eggs from traveling to the uterus.
How Sterilization Works
Sterilization works by preventing the sperm or egg from meeting, thereby preventing fertilization. In women, sterilization blocks the fallopian tubes, preventing the egg from traveling to the uterus. In men, sterilization blocks the vas deferens, preventing sperm from reaching the semen.
Risks and Complications
As with any surgical procedure, there are risks and complications associated with sterilization, including:
- Infection
- Bleeding or hematoma
- Damage to surrounding organs or tissues
- Allergic reaction to anesthesia
- Failure of the procedure, resulting in unintended pregnancy
Reversal
Sterilization is considered a permanent form of birth control. However, reversal may be possible in some cases, depending on the type of sterilization and individual circumstances. Reversal procedures are typically more complex and less successful than the initial sterilization procedure.
Effectiveness
Sterilization is highly effective in preventing pregnancy. The effectiveness of sterilization varies depending on the type of procedure:
- Tubal ligation: 99% effective
- Vasectomy: 99% effective
- Essure: 99% effective (Note: Essure is no longer available in the US market)
- Adiana: 98% effective
Candidates for Sterilization
Sterilization is typically recommended for individuals who:
- Are certain they do not want to have any more children
- Have completed their family
- Have a medical condition that makes pregnancy risky
- Have a genetic disorder that they do not want to pass on to their offspring
Alternatives to Sterilization
There are several alternatives to sterilization, including:
- Hormonal birth control methods (e.g. pill, patch, ring)
- Intrauterine devices (IUDs)
- Barrier methods (e.g. condoms, diaphragm)
- Natural family planning methods
Frequently Asked Questions (FAQs)
What is sterilization?
A medical procedure that intentionally leaves a person unable to reproduce.
Is sterilization reversible?
Sometimes, but not always, and reversal success rates vary.
What are common methods of sterilization for women?
Tubal ligation and essure placement are two common methods.
What are common methods of sterilization for men?
Vasectomy is a common method.
Is sterilization a form of birth control?
Yes, it is a permanent form of birth control.
Can sterilization be performed on anyone?
Generally, on adults, but laws and regulations regarding minors and mentally incapacitated individuals vary.
Are there risks associated with sterilization?
Yes, as with any surgical procedure, risks include infection and complications.
How long does it usually take to recover from sterilization?
Recovery time varies depending on the method and individual, typically several days to weeks.
Is sterilization covered by insurance?
Often, but coverage varies depending on the insurance provider and policy.
Can sterilization affect sexual function or hormones?
Possibly, but effects vary widely among individuals and procedures.
Article last updated on: 18th October 2025.
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