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    Surgical Sterilization


    The thought of a vasectomy or a tubal ligation ("getting your tubes tied") can make some people cringe, but others are elated at the thought of a one-time birth-control procedure that can last a lifetime. What's more, sterilization is between 99.5 and 99.9 percent effective in preventing pregnancy -- it's definitely among the contraceptive elite in terms of reliability. With about one million sterilizations performed annually in the United States since 1970, they are now one of the most common forms of birth control in this country.

    Sterilization is a viable method for many couples who have decided that their family is complete, but is something that couples should decide together, since you'll have to consider the family-planning wishes of your partner too. The flip side of both sterilization procedures is that they are not easily reversible. Reversal of sterilization is painful and expensive, so sterilization should be considered permanent.

    It is possible to skirt the effect of both male and female sterilization through In Vitro Fertilization (IVF). Sperm can be taken from the man through surgery if he has had a vasectomy, and naturally if he has not. The sperm is then joined with one of the woman's eggs for fertilization. Another option for achieving pregnancy following sterilization is vasectomy reversal. If you anticipate either of these at the time of sterilization, you probably shouldn't have the surgery.

    If you are considering sterilization as your contraceptive method after your upcoming birth, you should talk about it with your practitioner before you arrive for delivery. This is not a decision to be taken lightly. Due to convenience, many women undergo tubal ligation while they are in the hospital for the delivery of their child -- after the child is born, of course. However, with higher complication rates and shortened length of hospital stays, your doctor or midwife may suggest that you wait until your baby is about six weeks old.

    Vasectomy, a more simple outpatient procedure, can be planned at any time. However, if you anticipate using this method shortly after the birth, you'll need to schedule the surgery well in advance. Vasectomy patients need to use a back-up contraceptive method until four to six weeks after the surgery, when a sperm sample will be tested to ensure that the procedure was a success



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