Permanent methods of contraception (sterilisation)
Permanent methods of contraception are those which cannot be reversed. Couples usually go in for these methods after they have completed their family. However, these methods are also recommended in those people who are mentally retarded, schizophrenic or epileptic, in women with severe diabetes mellitus, chronic leukemia or breast cancer. In men, permanent contraception involves a surgical procedure called vasectomy. In India, there are a lot of misconceptions about vasectomy, including that it will reduce the strength or sexual vigour of the man. None of this isthese are true, and vasectomy is really one of the best methods of permanent birth control for couples. In women, there are a number of methods including ligation of fallopian tubes, minilaparotomy and colpotomy.
- Traditional ligation of fallopian tubes: This involves an abdominal incision, which is 2 two to 3 three inches long. Under anaesthesia (general, local or spinal), the tubes are ligated (tied). Hospitalisation of about a week is necessary.
- Minilaparotomy. Commonly known as minilap: This involves only a tiny incision to ligate the fallopian tubes. The operation is done under local anaesthesia and only half a days hospital stay is required.
- Colpotomy: This is a method in which the fallopian tubes are accessed through the vagina. It requires a specially trained medical practitioner. A hospital stay of 3 three to 5five days is necessary.