Re: Non-Surgical Female Sterilisation

From: Eugene S. Jursek (ejursek@riker.neoucom.edu)
Wed Jan 17 11:39:15 1996


PPlease more information on this -procedure, dosages, frequency, etc.

>Dear Listers,

>I would like to know how many of you have had experience with non-surgical female sterilisation with quinacrine pellet method. We in Bangalore ,India have been using this method for the past 1 1/2 years, our experience has been quite positive, we have completed over 800 cases of non surgical sterilisation & there have been so far only 6 failures when evaluated at the end of of one year follow up on 700 cases.
>The major advantage we find is mimimal procedural morbidity, nil mortality, low cost < less than $ one for the pellets> , extemely accesible ( a very useful feature in places like ours where most of our patient population have poor access to surgical sterilisation) & finally it can be done by trained nurses with minimal supervision from Ob/gyn ( I know many of you will find it threatening :-) ). As far as the cons of the procedure are 1. A failure rate higher than standard pomeroy surgical method , however we have found using Depo- provera with the procedure & doing a second procedure in the next cycle we get failure rates approaching surgical methods. 2.No formal approval from the FDA for use of Quinacrine for this indication though FDA has approved the drug for use in mala rial treatment.

>Dr.Pravin Kini MD (OB/GYN)
>kparvin@giasbm01.vsnl.net.in
>Infertility Consultant
>Bangalore India





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