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Laparoscopic Salpingectomy Cancellations: Patient-Reported Reasons and Areas for Improvement
Megan Masten1, Sofie Rosenberg2, Claire Schultz3
1Obstetrics and Gynecology, MaineHealth, Portland, USA.
Cureus
|March 2, 2026
Summary
Many patients cancel laparoscopic salpingectomy, a permanent contraception method. Financial concerns, particularly insurance issues, are the primary reasons for cancellation, even when services are covered.
Area of Science:
- Reproductive Health
- Surgical Procedures
- Patient Experience
Background:
- Laparoscopic salpingectomy is a common permanent surgical contraception method.
- A significant rate of cancellations occurs for this procedure.
- Reasons for sterilization cancellation are not well understood.
Purpose of the Study:
- To investigate patient-reported reasons for laparoscopic salpingectomy cancellations.
- To understand factors influencing decisions regarding permanent contraception.
Main Methods:
- Qualitative interviews were conducted with patients aged 18-50 who cancelled laparoscopic salpingectomy.
- Participants were English- or Spanish-speaking.
- Inductive coding was used to analyze interview data.
Main Results:
- 60% of participants remained confident in their desire for permanent contraception.
- 53.3% still desired laparoscopic salpingectomy after cancellation.
- Financial concerns, mainly insurance issues, were the most common cancellation reason for those desiring permanent contraception.
Conclusions:
- Some patients do change their minds about salpingectomy.
- Financial barriers, including insurance-related issues, persist for accessing laparoscopic salpingectomy for permanent contraception.
- Even with insurance or discounts, financial concerns can impede access to sterilization procedures.
