Family welfare: sterilization

FAMILY WELFARE: STERILIZATION
What is tubectomy?
Tubectomy or sterilisation of the female is a safe, simple and permanent method of preventing further childbirths to a woman. In this operation a small piece from each fallopion tube is cut and tied up. This blocks the passage of the ova through these tubes and prevents its meeting with the man's sperms. So pregnancy cannot take place.

What are the techinques of performing female sterilisation?
There are 3 common techniques
Tubectomy – The conventional tubectomy is carried out by the abodminal incision and is done under local or general anaesthesia depending upon the judgement of the doctor. Female has to stay in hospital for 6 days.
Mini Laparotomy – it is a procedure requiring abdominal incision of 2.5 to 3 centimeters. This operation is done mostly under local anaesthesia and requires hospitalisation for a period of 6 days.
Laparoscopy - in laparoscopy a special instrument known as laparoscope is used for blocking the tubes with a ring by a single stitch through the abdomen. This is done under local anaesthesia and requires 48 hours hospitalisation.

When to opt for sterilisation?
It is a permanent method and should be thought of only when a couple has jointly decided not to have more children. Though re-canalisation i.e. rejoining of cut ends of the fallopian tubes to restore fertility is possible but its success cannot be guaranteed.
Woman can undergo tubectomy at any time of her convenience. However, soon after delivery is the easiest for conventional tubectomy or minilap. It is generally carried out within 72 hours of delivery. But laparoscopy is done only 6 weeks after delivery.
Does it adversely affect woman's desire for sex?
No, there are no adverse effects of this operation on woman's desire for sex.
The female sex glands are not touched. The woman menstruates and produces ova as before. Only egg's meeting with the male sperm is prevented.
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