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Hepatitis C
Published in Vincenzo Berghella, Maternal-Fetal Evidence Based Guidelines, 2022
Rebecca Pierce-Williams, Neil Silverman, Raja Dhanekula, Jonathan M. Fenkel, Danielle Tholey
The option of sterilization, along with risks and benefits of the various procedures, should be reviewed with women who have completed childbearing. It is important to review male sterilization, via vasectomy, as a safer option, with a lower failure rate than female sterilization (0.15% in first year), and less cost [74].
Termination and Contraceptive Options for the Cardiac Patient
Published in Afshan B. Hameed, Diana S. Wolfe, Cardio-Obstetrics, 2020
Vasectomy (male permanent contraception) is the most cost-effective and safest method of permanent sterilization. It should be recommended to women with cardiac conditions who are monogamous with a male partner. Male sterilization can be performed in the outpatient setting [16].
Other reversible methods *
Published in John Guillebaud, Contraception Today, 2019
Sterilization, especially male sterilization, which is about five times as effective, after sperm counts have been done, as female sterilization with clips, is a useful option for selected couples, but not being reversible it is not within the remit of this chapter. For more, see again our book Contraception: Your Questions Answered(2017), pp. 353–4. Yet we argue there is the case for generally preferring a long-acting reversible contraceptive (often is an IUS or IUD) instead, for that finite, often quite short, time between ending childbearing and nature's sterilization method, the menopause. Relevantly, when either one of the couple is sterilized, unacceptable menstrual symptoms often return on discontinuation of the CHC or other hormonal method. This is how “vasectomy can cause menorrhagia!” Certainly, whenever either female or male sterilization is mooted, one should never omit to ask all women about their periods as they were before hormonal contraception, maybe many years before. If they were troublesome (sometimes in the history it emerges they were actually put on the Pill decades earlier to control their menses!), a levonorgestrel IUS may well be altogether better than sterilization, whether for the male or female.
More Than a Physical Burden: Women’s Mental and Emotional Work in Preventing Pregnancy
Published in The Journal of Sex Research, 2018
Clinicians’ encouragement that patients consider LARC must also be examined in light of their discursive focus on patients preserving their fertility (see also Kimport, Dehlendorf, & Borrero, 2017). By promoting LARC and discouraging sterilization, clinicians privileged methods that reduce but do not eliminate patients’ fertility work. And even as this approach may reduce the time and attention women must pay to contraception, it cannot address the stresses some women described, such as fear of side effects and pain at IUD placement. Indeed, male sterilization, as a highly effective male body–based method, is arguably the only method that enables a woman to bypass these stresses and also be highly confident about avoiding pregnancy. Yet unlike in other countries (e.g., the United Kingdom; Moses & Oloto, 2008), vasectomy is underutilized in the United States: Male sterilization is less than half as popular (6%) as reliance on female sterilization (17%) (Shih, Turok, & Parker, 2011). Clinicians should examine their counseling for implicit assumptions about the importance of women preserving their fertility, especially as such counseling could impede women’s selection of sterilization methods.
Inequities in unmet need for contraception among married women: Evidence from the PMA2020/ Kenya survey
Published in Cogent Medicine, 2021
Gerald Mahuro, Murungaru Kimani
In this study, contraceptive prevalence rate is the percentage of women who are currently using at least any on type of contraceptive method which are classified as either modern or traditional. Modern methods include female and male sterilization, intrauterine device (IUD), implant, injectables, oral contraceptive pills, male and female condoms, vaginal barrier methods (including the diaphragm, cervical cap, and spermicidal foam, jelly, cream, and sponge), lactational amenorrhea method (LAM) and emergency contraception. Traditional methods of contraception include rhythm (e.g., fertility awareness-based methods, periodic abstinence) and withdrawal.