Lastly, many physicians and obstetricians recommend a hormonal IUD as a less invasive, non-permanent yet long-term effective birth control method for women as compared to having tubal ligation. Share this Facebook Pinterest Twitter Linkedin. You are giggling Read Article. Is your love getting lost in translation? But, as they say, Read Article. You should be aware when your period is set to come, and you should Read Article. Are you in a relationship that needs a little spark?
A little UNF? A Read Article. Do you know what the most desired breast shape in the world is? Beware, ladies! They could be anywhere. At the party, at the park, right next Read Article. Sex always tops the list as one of the most talked-about subjects at every Read Article. Your mouth is an essential part of sex. Yeah, you know that but right now, Read Article. The rate in was Tubal sterilization rates varied by region in and Figure 2. As in most previous years, women in the South had the highest tubal sterilization rates.
Women in the West continued to have the lowest tubal sterilization rates. In and , women in the to year age group had the highest tubal sterilization rate Figure 3. In the same period, the lowest rate was for women in the to year age group, and the intermediate rate was for the to year age group. As in previous years, the tubal sterilization rate for black women was higher than that for white women in and Figure 4.
On the average, for and , white women were 30 years old and black women were 29 years old at the time of tubal sterilization. While the number and rate of all tubal sterilizations increased rapidly during the early and mid s, the increase was greater for nonpregnancy-associated sterilizations those performed on women not pregnant when hospitalized than for sterilizations performed during hospitalizations to end a pregnancy.
The data on tubal sterilization from the NHDS suggest that the number of women hospitalized throughout the nation for tubal sterilizations has decreased since However, the true rate at which tubal sterilizations are being performed may not be decreasing. From to , 5. The calculations of tubal sterilization rates include in the denominator numbers of women who have had such surgery.
If these women are excluded from the denominator, the tubal-sterilization rates rise 4. Furthermore, increasing numbers of tubal sterilizations may have been performed in freestanding, ambulatory, surgical-care facilities, hospital outpatient facilities, or Federally operated hospitals such as Armed Forces and Public Health Service hospitals. No data on such procedures are included in the NHDS analysis.
A recent survey suggested that in approximately 16, tubal sterilizations were performed nationwide in freestanding ambulatory surgical-care facilities 5. To this extent and to the extent that more tubal-sterilization procedures are performed in other outpatient facilities, the NHDS data will increasingly underestimate the actual number and rates of tubal sterilizations being performed in the United States.
The difference in tubal-sterilization rates for white women vs. Regionally, women in the western United States had considerably lower tubal-sterilization rates than those in other regions. That vasectomy is a more frequently selected sterilization option by couples in the West may account for some of this difference 7. That women in the South had the highest tubal-sterilization rate in the country may in part reflect increased age-specific parity 6 among southern women of all races.
In conclusion, these data demonstrate that there was a decrease in numbers of women admitted to hospitals for tubal sterilizations in and Moreover, substantial differences in the rates reflect interregional and racial differences that persist, with the lowest rates in the West and with black women having higher tubal-sterilization rates than those for white women.
The number of tubal sterilizations performed in outpatient clinics and Federally funded hospitals must be determined in order to fully document the use of tubal sterilization in the United States. Laparoscopy involves placement of instruments through the abdominal wall, while hysteroscopy provides access to the tubes at their insertion into the uterus, through the cervical canal, without any incisions.
Thus hysteroscopy is generally safer than laparoscopy. However, the major issue here is not the safety or side effects of either surgical approach, but rather the best choice of contraception for a woman in her early 20s.
At such a young age, permanent surgical sterilization is much more likely to lead to future regret than it would for women above the age of If your life circumstances should change over the next years as they are likely to do , you may be faced in the future with complex and costly procedures to restore fertility such as in vitro fertilization IVF or tubal microsurgery. Highly effective, safe and convenient reversible methods of contraception, such as intrauterine devices IUDs and hormonal preparations, are widely available and may meet your needs without restricting your future reproductive options.
Related Questions. I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it? I just had a vaginal hysterectomy last week. When can I start exercising again and what type would be best?
What is the success rate for tubal ligation reversal? What options for getting pregnant does a woman have if she's had a tubal ligation? I've had incontinence since giving birth.
0コメント