Female Sterilisation
Female Sterilisation


Family Complete - Contraception Options

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My family is complete. What are my birth control options?

Firstly, there may be no good reason to stop taking the pill. If you are healthy, not overweight, do not smoke, do not have high blood pressure and you have not had a blood clot problem (thromboembolism –surgery risks), there is no medical reason to stop the pill. If you stop taking the pill when you are sterilised, your periods are likely to change back to how they were before the pill was taken. If they were troublesome before, they are likely to cause you problems again (Q15.4).

 

  • You could stop the pill for a few months and use a barrier method (Q13.10) to see what your periods are like before you have a sterilisation operation.
  • The LNG-intra-uterine system (Mirena Mirena) provides excellent contraception and may reduce period problems. Failure rates with Mirena are lower than with sterilisation (Pearl Index).
  • Hysterectomy (hysterectomy) would provide sterilisation and you would no longer have periods. This operation may be a reasonable option particularly if your womb is enlarged with fibroids (Endometrial ablation (endometrial ablation) could be performed at the time of sterilisation if you have heavy periods, no obvious structural problem with your uterus and you do not want to have a hysterectomy. Ablation seems to improve periods in about 80% of cases.


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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London.

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Female Sterilisation