Update on permanent contraception options for women

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations


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, such as postpartum tubal ligation and interval surgical tubal occlusion or electrocautery by mini-laparotomy or laparoscopy are well tolerated 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 permanent contraception methods are being explored including immediately effective hysteroscopic methods, and nonsurgical permanent contraception methods that have the potential to improve access and reduce cost. Summary Permanent contraception 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 well tolerated and highly effective. The development of a highly effective nonsurgical approach could simplify the provision of permanent contraception.

Original languageEnglish (US)
Pages (from-to)465-470
Number of pages6
JournalCurrent Opinion in Obstetrics and Gynecology
Issue number6
StatePublished - 2015


  • Permanent contraception
  • Sterilization
  • Tubal ligation

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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