Permanent Contraception Methods (Nursing)

by Jacquelyn McMillian-Bohler

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    00:00 Now let's think about contraceptive options that are not reversible or not supposed to be reversible anyway. There are 2 main options, female sterilization and male sterilization.

    00:14 That's pretty much it. So, female sterilization or tubal occlusion occurs when we actually cut the tubes so we make sure the sperm and egg don't get together because we divide the highway so they cannot meet and that's what makes it permanent. So the tubes can be burned or cut or tied, but they all sort of fit in this categorization. Now this is a surgical procedure so this is going to be done either in the hospital or in an outpatient center.

    00:41 This method is effective immediately. Although you may not feel like utilizing it immediately, it definitely works right away. The typical failure rate is going to be 0.5%. Notice it has a failure rate. So that means that you can still get pregnant if you have a tubal. Now, does that mean it's less likely? Absolutely. But it's not impossible and I know that it's not impossible because I've caught babies from clients who had their tubes tied. Don't forget that. Now let's talk about tubals for clients with the penis. This is a vasectomy. So we're going to cut slightly different tubes. We're going to find the vas deferens and then that is the tube that we're going to cut. So the purpose of that is to prevent the sperm from reaching the urethra. Now when a vasectomy is done, it's important to make sure that all the sperm has cleared the panels. And so that sometimes can take around 12 weeks before we can depend on the male vasectomy to be a contraceptive method. So, the tubal for the female client works right away. For male sterilization, it takes a little bit of time.

    01:49 Typical failure rate is going to be around 0.15%. So still, pretty good but not 100%.

    About the Lecture

    The lecture Permanent Contraception Methods (Nursing) by Jacquelyn McMillian-Bohler is from the course Contraception (Nursing).

    Included Quiz Questions

    1. The fallopian tubes are tied or burned so that the sperm cannot meet the egg for fertilization.
    2. The ovaries are removed, so it prevents ovulation.
    3. The fallopian tubes are removed, so it prevents ovulation.
    4. Mesh stents are placed in the fallopian tubes, blocking sperm from meeting the egg for fertilization.

    Author of lecture Permanent Contraception Methods (Nursing)

     Jacquelyn McMillian-Bohler

    Jacquelyn McMillian-Bohler

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