Permanent Contraception - Modern Sterilization

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Permanent contraception is intended for people who are certain that they do not want a future pregnancy. Female sterilization works by blocking, cutting or removing the fallopian tubes. It should be chosen voluntarily after counselling about permanence, alternatives and the small possibility of failure.

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Important Counselling Points

- The procedure is intended to be permanent
- Reversal is difficult, expensive and not guaranteed
- Long-acting reversible contraception should also be discussed
- The decision must be free from pressure or coercion
- The procedure does not protect against sexually transmitted infections
- Pregnancy after failure carries a risk of ectopic pregnancy

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When Can It Be Performed?
-As a planned interval procedure
- During caesarean birth when consent and planning are completed
- After vaginal delivery through a small abdominal incision in selected settings
- By laparoscopic methods at an appropriate time

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Possible Risks
- Bleeding or infection
- Anaesthesia-related complications
- Injury to nearby organs
- Failure or later reconnection of the tube
- Regret, especially when the decision is made under pressure or during a crisis
- Ectopic pregnancy if conception occurs