Hello and welcome to the zero to finals podcast. My name is Tom and in this episode I'm going to be

talking to you about sterilization. And you can find written notes on this topic at zero to

finals.com slash sterilization or in the contraception section of the zero to finals obstetrics and gynecology book.

So let's get straight into it.

Sterilization procedures are permanent surgical interventions to prevent conception and therefore to prevent

pregnancy.

It's essential to thoroughly counsel patients about the permanence of the procedure

to ensure that they've made a fully informed decision.

Sterilisation does not protect against sexually transmitted infections.

The NHS does not provide reversal procedures.

Private reversal procedures are available, but the success rate is low.

Therefore, sterilisation should be considered permanent.

Let's talk about tubal occlusion.

The female sterilisation procedure is called tubal occlusion. This is typically performed by laparoscopic

surgery under a general anaesthetic with occlusion of the tubes using felshy clips. The clips are

applied to the fallopian tubes which blocks the fallopian tubes preventing the egg from

travelling from the ovary to the uterus.

Alternatively, the fallopian tubes can be tied and cut or removed altogether.

Female sterilisation is done as an elective procedure or it can be done during a caesarian section.

The procedure works by preventing the ovum or the egg from travelling from the ovary to the uterus along the fallopian tube.

This means the ovum and the sperm will not meet and pregnancy cannot occur. The procedure is

more than 99% effective and there's a 1 in 200 failure rate.

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