1 / 8

Contraceptive Options for Women and Couples with HIV Male and Female Sterilization

Female. Male. Contraceptive Options for Women and Couples with HIV Male and Female Sterilization. Female. Male. Surgical Sterilization. Good for couples who want no more children Safe, simple surgical procedure Considered permanent Very effective; pregnancy rates:

leverett-reynaud
Download Presentation

Contraceptive Options for Women and Couples with HIV Male and Female Sterilization

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Female Male Contraceptive Options for Women and Couples with HIVMale and Female Sterilization

  2. Female Male Surgical Sterilization • Good for couples who want no more children • Safe, simple surgical procedure • Considered permanent • Very effective; pregnancy rates: • female: 0.5% after one year, increasing to 1.85% over ten years • male: 0.1% to 0.15%(possibly higher) Source: CCP and WHO, 2007.

  3. Female Male Sterilization – Mechanism of Action Prevents pregnancy by preventing sperm from reaching the egg Prevents pregnancy by preventing sperm from entering the semen; semen is ejaculated without sperm

  4. Sterilization – Who Can Use Sterilization is appropriate for people who: • Do not want any more children • Want highly effective contraception • Want permanent protection • Have difficulty with temporary methods requiring compliance or resupply There are no medical restrictions for age or parity. Source: WHO, 2004; updated 2008.

  5. Sterilization Use by Clients with HIV • No medical reasons to deny sterilization to clients with HIV • Procedure may be delayed in event of acute HIV-related infection • Encourage condom use to prevent STI/HIV transmission Source: WHO, 2004; updated 2008.

  6. Sterilization – Counseling • Informed choice (avoid pressure) • provide appropriate information about contraceptive options • give preferred method if possible • Carefully discuss decision to end fertility • sterilization is permanent; other long-acting methods available • If doubts about sterilization, recommend delay

  7. Sterilization – Counseling continued … • Inform that complications are rare but may occur • infection, bleeding • adverse reaction to anesthesia • Clarify – no systemic side effects • Explain time-to-effectiveness • female sterilization: immediately • male sterilization: avoid unprotected sex for 12 weeks after procedure • Discuss lack of STI/HIV protection Source: WHO, 2004; updated 2008.

  8. Female: No loss of sexual desire Eggs do not build up in the body Menstruation occurs, but no longer signals fertility Tubes cannot simply be united for reversal Male: Vasectomy is not castration No effect on quantity of ejaculate No loss of male physical traits or strength Sperm does not build up in the body Dispelling Myths about Sterilization

More Related