Conceptualizing risk and effectiveness: a qualitative study of women’s and providers’ perceptions of nonsurgical female permanent contraception

Harrington, Elizabeth K.; Gordon, Diana F.; Osgood-Roach, Isabel; Jensen, Jeffrey T.; Aengst, Jennifer

doi:10.1016/j.contraception.2015.03.002

Cited by 9 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Female sterilization by tubal ligation or occlusion is the most effective and used method for family planning worldwide. ( 1 ) This technique have been changed progressively by the introduction of minimally invasive surgery. In developing countries the minilaparotomy remains the most common procedure, but in developed countries interval laparoscopic sterilization is most the common technique.…”

Section: Introductionmentioning

confidence: 99%

Initial experience with hysteroscopic tubal occlusion (Essure®)

Depes

Pereira

Lippi

et al. 2016

Einstein (São Paulo)

View full text Add to dashboard Cite

Objective To evaluate results of early tubal occlusions performed by hysteroscopy (Essure®). Methods This prospective study included 38 patients, 73.7% of them were white, mean age 34.5 years, they have had on average 3 pregnancies and 2.7 of deliveries. A total of 86.8% of patients previously prepared the endometrium. All procedures were carried out at outpatient unit without anesthesia. Results Insertion rate of the device was 100% at a mean time of 4 minutes and 50 seconds. Based on the analogical visual scale, average pain reported was three, and 55.3% of women did not report pain after the procedure. After 3 months, 89.5% of patients were very satisfied with the method. Simple radiographs of the pelvis showed 92.1% of topical devices, and one case of unilateral expulsion had occurred. A four years follow-up did not show failure in the method.Conclusions Tubal occlusion through hysteroscopy at outpatient unit and without anesthesia was a quickly and well-tolerated procedure. No serious complications were seen, the success rate was high, and patients were satisfied.

show abstract

Section: Introductionmentioning

confidence: 99%

Initial experience with hysteroscopic tubal occlusion (Essure®)

Depes

Pereira

Lippi

et al. 2016

Einstein (São Paulo)

View full text Add to dashboard Cite

show abstract

“…Currently, transcervical polidocanol foam (a sclerosing agent) is under investigation in non-human primates with promising initial findings (47,48). When women’s and provider’s perceptions of NSPC were explored, the need for long-term safety and efficacy data were expressed as well as the desire for confirmation of successful tubal occlusion (49). Alternative confirmatory tests to HSG are needed to reduce cost and radiation exposure and to improve convenience and accessibility for women.…”

Section: New Methods Of Pcmentioning

confidence: 99%

Update on permanent contraception options for women

Patil

Jensen²

2015

Current Opinion in Obstetrics &Amp; Gynecology

Self Cite

View full text Add to dashboard Cite

Purpose of review Permanent methods are the most commonly used contraceptive options worldwide. Even with the increase in popularity and accessibility of long-acting reversible methods, there remains high demand for permanent options, especially among women in developing countries. Recent findings Traditional methods of permanent contraception (PC), such as post-partum tubal ligation and interval surgical tubal occlusion or electrocautery by mini-laparotomy or laparoscopy are safe and highly effective. Bilateral total salpingectomy for ovarian cancer risk reduction is currently being investigated. Hysteroscopic tubal occlusion reduces or eliminates the need for anesthesia, but requires surgical training and specialized equipment. Alternative PC methods are being explored including immediately effective hysteroscopic methods, and non-surgical permanent contraception (NSPC) methods that have the potential to improve access and reduce cost. Summary PC methods are an important part of the contraceptive methods mix designed to meet the needs of women who have completed desired family size or wish never to become pregnant. Current surgical approaches to permanent contraception are safe and highly effective. The development of a highly effective nonsurgical approach could simplify the provision of PC.

show abstract

“…Both groups felt that a confirmation test of tubal occlusion would be important. 51 To provide reassurance regarding successful tubal occlusion, an alternative low-cost, low-tech confirmatory test could improve women's acceptability of nonsurgical PC. Alternatives to hysterosalpingogram are in early phases of investigation.…”

Section: Alternate Approaches To Permanent Contraceptionmentioning

confidence: 99%

Permanent Contraception for Women

Patil

Jensen

2016

Semin Reprod Med

View full text Add to dashboard Cite

Permanent contraception is a highly desired and commonly used contraceptive option for women around the world who desire never to become pregnant. Current methods of female permanent contraception require surgery. Postpartum tubal ligation and interval surgical tubal ligation are safe and effective, do not interfere with menstrual cycles, and require no ongoing cost or medical checkups. Hysteroscopic tubal occlusion offers a less invasive surgical approach, but requires an imaging study for verification of correct placement. However, not all women have access to a surgeon trained to provide permanent contraception, or they may face other prohibitive logistic or financial burdens. The development of novel permanent contraception methods that are immediately effective and/or nonsurgical could help improve access to and acceptability of permanent contraception. The expansion of permanent contraception options could help women achieve their family planning goals and reduce unintended pregnancies.

show abstract

Conceptualizing risk and effectiveness: a qualitative study of women’s and providers’ perceptions of nonsurgical female permanent contraception

Abstract: This hypothesis-generating study elucidates women's and provider's perspectives on new methods of NSPC and contributes to understanding their perceptions of various types of risk. A technique to verify tubal occlusion would be needed for women and providers to accept NSPC.

Cited by 9 publications

References 24 publications

Initial experience with hysteroscopic tubal occlusion (Essure®)

Initial experience with hysteroscopic tubal occlusion (Essure®)

Update on permanent contraception options for women

Permanent Contraception for Women

Contact Info

Product

Resources

About