TUBECTOMY.....female surgical sterilization via tubal occlusion has been used for many years, is highly successful and safe, and has a low risk of complications. The fallopian tubes are occluded by ligation, blocking with clips or rings, or cauterization.Surgical tubal occlusion may be done as a laparoscopic procedure or as laparotomy. The second two procedures are usually selected for sterilization after childbirth. These procedures can be performed on an outpatient basis as ambulatory surgery. After the procedure, women may resume having sexual intercourse as soon as they feel comfortable.Tubal occlusion should be considered a permanent end to a woman's fertility and should not be performed if there is a chance that the patient might desire childbearing in the future.
Approximately 20 percent of women who undergo sterilization before age 30 experience regret.97
Although procedures for reversal of surgical tubal occlusion exist, reversal is costly and has a low rate of success.
A permanent form of birth control, vasectomy has been used for decades for male sterilization. The outpatient procedure is highly effective and has few side effects. Vasectomy is exceedingly safe.Vasectomy should be considered a permanent method of male sterilization and should not be performed if there is a chance that the patient might desire to father children in the future.