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 The air or gas is left out, the instrument is withdrawn and the wound is sutured.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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