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Contraceptive Options for Women and Couples with HIV Male and Female Sterilization

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Female. Male. Contraceptive Options for Women and Couples with HIV Male and Female Sterilization. Female. Male. Surgical Sterilization. Good for couples who want no more children Safe, simple surgical procedure Considered permanent Very effective; pregnancy rates:

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Female

Male

Contraceptive Options for Women and Couples with HIVMale and Female Sterilization

surgical sterilization

Female

Male

Surgical Sterilization
  • Good for couples who want no more children
  • Safe, simple surgical procedure
  • Considered permanent
  • Very effective; pregnancy rates:
    • female: 0.5% after one year, increasing to 1.85% over ten years
    • male: 0.1% to 0.15%(possibly higher)

Source: CCP and WHO, 2007.

sterilization mechanism of action

Female

Male

Sterilization – Mechanism of Action

Prevents pregnancy by

preventing sperm from

reaching the egg

Prevents pregnancy by preventing sperm from entering the semen; semen is ejaculated without sperm

sterilization who can use
Sterilization – Who Can Use

Sterilization is appropriate for people who:

  • Do not want any more children
  • Want highly effective contraception
  • Want permanent protection
  • Have difficulty with temporary methods requiring compliance or resupply

There are no medical restrictions for age or parity.

Source: WHO, 2004; updated 2008.

sterilization use by clients with hiv
Sterilization Use by Clients with HIV
  • No medical reasons to deny sterilization to clients with HIV
  • Procedure may be delayed in event of acute HIV-related infection
  • Encourage condom use to prevent STI/HIV transmission

Source: WHO, 2004; updated 2008.

sterilization counseling
Sterilization – Counseling
  • Informed choice (avoid pressure)
    • provide appropriate information about contraceptive options
    • give preferred method if possible
  • Carefully discuss decision to end fertility
    • sterilization is permanent; other long-acting methods available
  • If doubts about sterilization, recommend delay
sterilization counseling1
Sterilization – Counseling

continued …

  • Inform that complications are rare but may occur
    • infection, bleeding
    • adverse reaction to anesthesia
  • Clarify – no systemic side effects
  • Explain time-to-effectiveness
    • female sterilization: immediately
    • male sterilization: avoid unprotected sex for 12 weeks after procedure
  • Discuss lack of STI/HIV protection

Source: WHO, 2004; updated 2008.

dispelling myths about sterilization
Female:

No loss of sexual desire

Eggs do not build up in the body

Menstruation occurs, but no longer signals fertility

Tubes cannot simply be united for reversal

Male:

Vasectomy is not castration

No effect on quantity of ejaculate

No loss of male physical traits or strength

Sperm does not build up in the body

Dispelling Myths about Sterilization
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