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Chapter 50 - Reversal of Sterilization in Females and Males to Restore Fertility

from Section 10 - Operative Gynaecology

Published online by Cambridge University Press:  24 November 2021

By
Stephan Gordts ,
Rudi Campo ,
Sylvie Gordts  and
Maarten Albersen
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

When the desire to have a child no longer exists and the family is completed, women and men can opt for tubal sterilization or vasectomy as a definitive form of contraception. For the female partner it offers the opportunity that she can rely on a natural hormonal cycle without the need to use a hormonal or mechanical contraceptive method. Most frequently, due to changes in family situation, couples can regret the sterilization procedure and opt for another pregnancy. Because of proven fertility, pregnancy rates after microsurgical tubal anastomosis vary between 60% and 80%. Outcomes of vasovasostomy are quite variable, with patency rates ranging from 69.2% to 97.8% and pregnancy rates ranging from 36.8% to 92.5%. These results have to be balanced against the possibilities of artificial reproductive techniques. Factors influencing this decision are age, method of tubal sterilization, desire to have only one additional child and reimbursement in health insurance cases.

Keywords

tubal sterilizationtubal anastomosisvas deferensvasovasostomymicrosurgery
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 437 - 442
Publisher: Cambridge University Press
Print publication year: 2021

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References

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