5.9 Sterilisation

Question 1

What is the name for female sterilisation?

Answer 1

Tubal occlusion

Question 2

How is tubal occlusion performed?

Answer 2

During elective procedure or caesarian section.
General anaesthetic, laparoscopic.
Tubes get: occluded, cut+tied or removed

Question 3

What used to occlude the tubes in sterilisation?

Answer 3

“Filshie clips”

Question 4

After the procedure, when does tubal occlusion become effective?

Answer 4

Contraception is needed until the next period as ovum may have already passed through the tubes before the procedure.

Question 5

What is cut in a vasectomy?

Answer 5

Vas deferens is cut preventing sperm from reaching the ejaculated fluid.

Question 6

What sort of operation is a vasectomy?

Answer 6

15-20mins, under local anaesthetic

Question 7

After the procedure, when does vasectomy become effective?

Answer 7

Contraception is required for 2 months after operation.
Semen testing at 12 weeks to confirm absence of sperm.
(sperm can stay viable in the tubes and take time to be cleared)