Sterilization in female is achieved by blocking the fallopian tubes. The fallopian tubes
are approached through the laparoscope or through mini laparotomy or transvaginally. The
person is taken up for sterilization only if she found it after thorough examination and
investigations.Local, epidural spinal or general
anesthesia can be used. Routinely for laparotomy sterilization the local anesthesia is
preferred.
A special needle is introduced in the peritoneal cavity,
the abdomen is inflated with gas or air, a small incision is made and the laparoscope in
introduced with due precautions. The fallopian tubes are located. Help may be taken by
asking the assistant to manipulate the uterus. Each tube is closed with the ring or clip
or the coagulation. Absence of bleeding is confirmed. The air or gas is left out, the
instrument is withdrawn and the wound is sutured. The dressing is applied. The patient is
allowed to go home after afew hours only, after the necessary instructions are given.
The MYTHS about sterilzation are many. Impotence, loss of
libido. DUB, need of hystrectonomy and for that matter anything that is bothering the
person are attributed to the procedure. Studies have proved that the impotence does not
occur because of vaasectomy except psycological) libido improves because the fear of
unwantedpregnancy goes away. The incidence of DUB or the need of hystrectonomy has not
increased. This should be made clear if such a doubt is raised by the person. Many of such
psychological/psychosomatic symptoms are clubbed as loost – sterilization regret.
This occurs as a result of absent or improper counseling before end and/or after the
acceptance of procedure.
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