What is sterilisation?
Permanent irreversible contraception
What should you consider before sterilisation?
Alternative methods - depot, implants, coils
Consent
Who should be sterilised
Irreverisbilty
Warn of failure rates
Side-effects - women who have been on COCP may find periods heavy after sterilisation
What happens in female sterilisation?
Laparascopuc
Pregnancy test pre-op
Advise use of effective contraception until operation and neck period
Remove IUCD after next period
What is disadvantage of vasectomy?
Takes up to 3m before sperm stores are used up
Obtain 2 ejaculates negative for sperm before stopping other methods