Female sterilization and refertilization
Anneloes N J Huijgens1, Céline M J G Lardenoije1, Helen J M M Mertens1
1Department of Gynecology and Obstetrics, Orbis Medical Center, Dr. H. van der Hoffplein 1, 6162 BG Sittard-Geleen, The Netherlands.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 25, 2014
Summary
Laparoscopic sterilization has low complication and failure rates. While sterilization and refertilization procedures are declining, refertilization remains a safe option with a good chance of pregnancy.
Area of Science:
- Reproductive Medicine
- Gynecological Surgery
Background:
- Tubal sterilization is a common contraceptive method.
- Refertilization offers an option for women desiring future fertility.
- Trends in these procedures may reflect evolving patient preferences and medical practices.
Purpose of the Study:
- To analyze sterilization and refertilization data from Orbis Medical Center.
- To evaluate complication and failure rates of sterilization.
- To assess outcomes of refertilization procedures.
Main Methods:
- Retrospective cohort study of 966 sterilizations (2002-2011) and 19 refertilizations (2002-2012).
- Data analysis included complications, failure rates, motives, and pregnancy rates.
- Statistical analysis used t tests and nonparametric tests.
Main Results:
- Laparoscopic sterilization, primarily with Filshie clips, was performed on 99.8% of patients.
- Sterilization failure rate was 0.3% with no complications.
- Refertilization patients were younger at sterilization; 63.2% achieved pregnancy post-procedure.
Conclusions:
- Laparoscopic sterilization demonstrates low complication and failure rates.
- Both sterilization and refertilization procedures show a declining trend.
- Refertilization is a safe procedure with a significant pregnancy success rate.
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