Counseling Sterilization.
MALE: Hello Mr. Smith I am Dr. Munagapati, senior house officer in the department of Surgery.
I understand that you wish to have a sterilization operation.
I would like to ask you a few questions: have you completed your family? How many children have you got? What is the age of the last child? Have you considered other methods of contraception? Have you discussed this with your partner?
Sterilization is essentially irreversible. It involves a small operation on the tubes that carry sperm from the testicles to where they are mixed with the semen. These tubes will be cut or blocked. This doesn't effect your sexual function. You will still produce semen, but with no sperm in it.
The operation can be done under a local anaesthetic. A small cut is made on both sides of the scrotum. The tubes are then tied and cut. You can go home the same day. There shouldn't be any complications. You might be having some bruising or pain, which will resolve in a few days time.
You'll need to use some form of contraception for 2-3 months after the operation, because you will still be producing sperms. We will do a semen analysis and let you know when you are sterile. It is important that you understand that this procedure is permanent and irreversible.
FEMALE: Hello Mrs. Smith I am Dr. Munagapati, senior house officer in the department of Obstetrics and gynaecology.
I understand that you wish to undergo a sterilization operation. Have you completed your family? Are you in a stable relationship? How many children have you got? How old is your last child? Have you considered other modes of contraception? Have you discussed this decision with your partner?
I must tell you that this is a premanent and irreversible procedure. It involves a small operation on your tubes. The tubes will be blocked so that the egg cannot travel down the tube. However you will still continue to have your periods. There are several ways of performing the operation. We will make a small incision on your abdomen and clip the tubes (mini-laparoscopy). You will need a general anaesthetic for the procedure. You can go home the next day.
I must tell you that there is a very small failure rate, i.e. 1-3 in 1000 chance of pregnancy.
Overall you will continue to have periods and your sexual activity should not be effected.