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The future of long-term and permanent contraceptive methods. Developments in technology
AVSC News (Association for Voluntary Surgical Contraception (U.S.))
|October 1, 1993
Summary
Female sterilization methods will remain standard, with a shift towards local anesthesia for safety and cost. No-scalpel vasectomy offers significant potential for male contraception, with new injection methods emerging.
Area of Science:
- Family Planning and Contraception
- Reproductive Health
- Surgical Procedures
Background:
- The Association for Voluntary Surgical Contraception (AVSC) anticipates continued reliance on established female sterilization techniques.
- Current trends indicate a move towards local anesthesia in minilaparotomy and laparoscopy for improved safety and reduced costs.
Purpose of the Study:
- To project advancements and market potential for various contraceptive methods over the next decade.
- To identify key trends and opportunities in voluntary surgical contraception and long-acting reversible contraceptives.
Main Methods:
- Review of current trends in surgical contraception (minilaparotomy, laparoscopy, vasectomy).
- Analysis of market potential for intrauterine devices (IUDs), implants (Norplant), and injectables (Depo-Provera).
- Consideration of factors influencing method acceptability and accessibility, including cost, safety, and service delivery.
Main Results:
- Minilaparotomy and laparoscopy will remain standard female sterilization methods, with increased use of local anesthesia.
- No-scalpel vasectomy shows high potential for male sterilization acceptance and expansion.
- Intrauterine devices (IUDs), implants, and injectables markets are expected to grow, driven by demand for long-term contraception and expanded program offerings.
- Norplant is projected to remain a niche method due to cost and specialized provider requirements.
- Injectables, including Depo-Provera, will see increased availability and use.
- The Copper T 380A IUD has vast potential as a 10-year contraceptive, though service quality and STDs may pose limitations.
Conclusions:
- The contraceptive landscape will evolve with increased emphasis on safer, cost-effective procedures and a broader range of long-term options.
- Expanding access to male sterilization and diverse long-acting methods is crucial for meeting global family planning needs.
- Addressing service delivery quality and sexually transmitted disease prevalence is essential for maximizing the impact of certain contraceptive methods, particularly IUDs.