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Re: Sterilization failure rates From: Anna Meenan, MD (annam@uic.edu) Sat May 20 09:41:11 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: LCLEMOS@aol.com: "Re: Sterilization failure rates" Previous message: Anna Meenan, MD: "Re: tubal ligation" In reply to: rmodugno@aol.com: "Sterilization failure rates" Next in thread: LCLEMOS@aol.com: "Re: Sterilization failure rates" That's just amazing. My question to the OB's on the list is this: What failure rate do you quote to your patients when you are counseling for tubal ligation? Around here, the generally-quoted figure is 0.3% Obviously that's a gross underestimation, and can be as high as 5%, particularly in younger women. There are several methods that are more effective, including OCP's taken compulsively, depo, Norplant (new version of it coming back soon), IUD. Why would anyone want to get a tubal? It's expensive, risky, and not even as effective as we thought it was. -- Anna Meenan, MD At Fri, 19 May 2006, rmodugno@aol.com wrote: > >>From Google Scholar: > >The Risk of Pregnancy After Tubal Sterilization: Findings From the U.S. Collaborative Review of Sterilization. > >IUDs >Obstetrical & Gynecological Survey. 51(12):8S-16S, December 1996. >Peterson, Herbert B.; Xia, Zhisen; Hughes, Joyce M.; Wilcox, Lynne S.; Tylor, Lisa Ratliff; Trussell, James >Abstract: >OBJECTIVE: Our purpose was to determine the risk of pregnancy after tubal sterilization for common methods of tubal occlusion. >STUDY DESIGN: A multicenter, prospective cohort study was conducted in U.S. medical centers. A total of 10,685 women who underwent tubal sterilization was followed up for 8 to 14 years. The risk of pregnancy was assessed by cumulative life-table probabilities and proportional hazards models. >RESULTS: A total of 143 sterilization failures was identified. Cumulative 10-year probabilities of pregnancy were highest after clip sterilization (36.5/1000 procedures) and lowest after unipolar coagulation (7.5/1000) and postpartum partial salpingectomy (7.5/1000). The cumulative risk of pregnancy was highest among women sterilized at a young age with bipolar coagulation (54.3/1000) and clip application (52.1/1000). >CONCLUSIONS: Although tubal sterilization is highly effective, the risk of sterilization failure is higher than generally reported. The risk persists for years after the procedure and varies by method of tubal occlusion and age. (Am J Obstet Gynecol 1996;174:1161-70.) > >++++++++++++++++++++++++ >Robert Modugno MD MBA FACOG >Marietta, GA Next message: LCLEMOS@aol.com: "Re: Sterilization failure rates" Previous message: Anna Meenan, MD: "Re: tubal ligation" In reply to: rmodugno@aol.com: "Sterilization failure rates" Next in thread: LCLEMOS@aol.com: "Re: Sterilization failure rates"

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