Abstract
Choices for family planning have increased since the availability of postpartum tubal ligation. Hysteroscopic tubal occlusion is set to become the method of choice for interval sterilization. However, hormonal contraception has proven to bring substantial additional benefits, such as reduced menstrual discomfort and treatment of hyperandrogenism among the most noted. Arguably, the back-to-back use of long-acting hormonal contraceptives, such as the intrauterine delivery systems, can be considered to be ‘permanent’ contraceptive alternatives to surgical sterilization. For surgical sterilization to become an attractive alternative, there is a tendency to combine sterilization with other procedures, such as endometrial ablation. The current geo-political climate is unfavorable with regards to family planning, and the antagonism between religion and the state continues to flare with every debate on the subject of contraception.
Financial & competing interests disclosure
TG Vancaillie is the original patent holder of the Adiana technology, which was transferred to Hologic Inc. TG Vancaillie has no current relationship with any company. The author has no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.
No writing assistance was utilized in the production of this manuscript.