Semin Reprod Med 2016; 34(03): 139-144
DOI: 10.1055/s-0036-1571434
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Permanent Contraception for Women

Eva Patil
1   Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon
,
Jeffrey T. Jensen
1   Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon
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Publikationsdatum:
09. März 2016 (online)

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Abstract

Permanent contraception is a highly desired and commonly used contraceptive option for women around the world who desire never to become pregnant. Current methods of female permanent contraception require surgery. Postpartum tubal ligation and interval surgical tubal ligation are safe and effective, do not interfere with menstrual cycles, and require no ongoing cost or medical checkups. Hysteroscopic tubal occlusion offers a less invasive surgical approach, but requires an imaging study for verification of correct placement. However, not all women have access to a surgeon trained to provide permanent contraception, or they may face other prohibitive logistic or financial burdens. The development of novel permanent contraception methods that are immediately effective and/or nonsurgical could help improve access to and acceptability of permanent contraception. The expansion of permanent contraception options could help women achieve their family planning goals and reduce unintended pregnancies.