This is one of the commonest procedures performed in the UK. It is classed as a permanent and irreversible method of contraception. During consent alternatives to this method should be discussed in addition to the risks associated with it. This is usually performed laparoscopically by the application of Filshie clips on the isthmus of the tube. When a failure occurs there is a high risk of an ectopic pregnancy and this should be a differential diagnosis in women presenting with amenorrhoea following a sterilisation.
KeywordsSterilisation Contraception Permanent contraception Essure Hysteroscopic sterilisation
- 1.Faculty of Sexual and Reproductive Healthcare (FSRH) Clinical Effectiveness Unit guideline. Male and female sterilisation; 2014. http://www.fsrh.org/pdfs/MaleFemaleSterilisationSummary.pdf.
- 2.NICE Clinical Knowledge Summaries. Contraception – sterilisation. https://cks.nice.org.uk/contraception-sterilization#!scenario:1.