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1 results

  • Chapter 50 - Reversal of Sterilization in Females and Males to Restore Fertility

  • from Section 10 - Operative Gynaecology
  • Edited by Tahir Mahmood, Charles Savona-Ventura, Ioannis Messinis, Sambit Mukhopadhyay
  • Book:
    The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
    Published online:
    24 November 2021
    Print publication:
    02 December 2021, pp 437-442

  • Summary

    When the desire to have a child no longer exists and the family is completed, women and men can opt for tubal sterilization or vasectomy as a definitive form of contraception. For the female partner it offers the opportunity that she can rely on a natural hormonal cycle without the need to use a hormonal or mechanical contraceptive method. Most frequently, due to changes in family situation, couples can regret the sterilization procedure and opt for another pregnancy. Because of proven fertility, pregnancy rates after microsurgical tubal anastomosis vary between 60% and 80%. Outcomes of vasovasostomy are quite variable, with patency rates ranging from 69.2% to 97.8% and pregnancy rates ranging from 36.8% to 92.5%. These results have to be balanced against the possibilities of artificial reproductive techniques. Factors influencing this decision are age, method of tubal sterilization, desire to have only one additional child and reimbursement in health insurance cases.