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Female Sterilization Female Sterilization About female cleansing: Fallopian tubes that convey eggs to the womb are blocked or cut and fixed (womb is left untouched). May sting for a couple many. Normally lady not put to rest but rather motivates infusion to avert torment. Normally can go home in a couple of hours. A surgical technique Womb is NOT evacuated. You will in any case have menstrual periods. Typically can't be turned around. "It would be ideal if you consider painstakingly: may you need kids later on?" Ask about accomplice's inclinations or concerns. Vasectomy may be another great decision. Vasectomy is more straightforward and more secure to perform and somewhat more compelling. Changeless—for ladies who won't need more kids Very powerful One of the best family arranging techniques for ladies. Rarely, pregnancy occurs. Check for concerns, gossipy tidbits: "What have you found out about issues with cleansing?" Use Appendix 10 to discuss myths about contraception. Clarify that all ladies can have disinfection on the off chance that they need, even those without any kids. Exceptionally sheltered No long haul symptoms Serious complexities of surgery are uncommon (danger of anesthesia, requirement for further surgery). No assurance against STIs or HIV/AIDS For STI/HIV/AIDS security, additionally utilize condoms. Next Move: "Would you like to know more about sanitization, or discuss an alternate technique?" If customer needs to know more about disinfection, go to next page. To talk about another technique, go to another strategy tab or to Choosing Method tab. S1 Female Sterilization

When you can have cleansing Most ladies can have disinfection whenever But may need to hold up if: Some different genuine wellbeing conditions Gave birth somewhere around 1 and 6 weeks back May be pregnant Infection or other issue in female organs

Female Sterilization When you can have sanitization No conditions discount female cleansing, yet a few circumstances require deferral, referral, or extraordinary alert. Most ladies can have disinfection whenever But may need to hold up if: Procedure should be possible at whatever time aside from between 7 days and 6 weeks after conveyance. Should be possible up to 7 days after conveyance, in the event that she chose ahead of time. Conceived an offspring somewhere around 1 and 6 weeks back May be pregnant If in any uncertainty, utilize pregnancy agenda in Appendix 1 or perform pregnancy test. Contamination or other issue in female organs Delay cleansing until these conditions are completely treated: Pelvic fiery infection. Chlamydia, gonorrhea or purulent cervicitis. Disease after fetus removal or labor. Growth in female organs. Some different genuine wellbeing conditions May need to postpone with genuine wellbeing conditions: Such as stroke, hypertension, or diabetes with difficulties that require administration before surgery. Next Move: If customer can have sanitization, go to next page. On the off chance that customer can't have disinfection now or in this office, allude as required. S2

Before you choose Let's talk about: Temporary techniques are likewise accessible Sterilization is a surgical methodology Has dangers and advantages Prevents having any more kids Permanent—choice ought to be deliberately viewed as You can rule against strategy whenever before surgery Are you prepared to pick this strategy? Need to know more about the system?

Female Sterilization Before you choose Let's examine: Explain so customer gets it. Talk about as much as required. Affirm that customer sees every point. Examine accessible transitory strategies. Impermanent strategies are additionally accessible Risks Any surgery, including disinfection, conveys dangers. Inconveniences are phenomenal. They incorporate contamination, dying, harm to organs, requirement for further surgery. Seldom, hypersensitive response to neighborhood sedative or different genuine intricacies from anesthesia. Benefits Single method prompts to long lasting, safe, and extremely successful family arranging. Nothing to recall; no provisions. May ensure against ovarian malignancy. Sanitization is a surgical technique Has dangers and advantages Prevents having any more youngsters Permanent—choice ought to be precisely viewed as Probably, method can't be turned around. May not be reasonable for more youthful ladies. You can rule against system whenever before surgery And won't lose rights to therapeutic, wellbeing or different administrations or advantages. Next Move: Make beyond any doubt customer sees all focuses. At that point ask what she has chosen. On the off chance that she rules against cleansing, help her pick another technique. On the off chance that customer comprehends and needs sanitization, clarify assent shape (assuming any) and request that her sign. Go to next page. S3

The methodology 1. Prescription helps you try to avoid panicking and counteracts torment 2. You remain alert 3. Little cut is made — not agonizing 4. Tubes are blocked or cut 5. Opening shut with fastens 6. Rest a couple of hours Small cut either here or here Afterwards: You ought to rest for 2 or 3 days Avoid truly difficult work for a week No sex for no less than 1 week What questions do you have?

Female Sterilization The methodology Describe the means in cleansing system. Clarify: It is a straightforward, safe surgical technique that should be possible in a clinic or wellbeing focus with the right offices. Regularly, the entire strategy (counting rest time) can take only a couple of hours. 1. Solution helps you try to avoid panicking and forestalls torment 2. You remain wakeful Explain how light sedation will be given—oral or intravenous. Clarify entry point—where and how. Urge her to fill suppliers in regarding whether she feels torment amid technique. "You can request more torment pharmaceutical on the off chance that you need it." 3. Little cut is made — not agonizing 4. Tubes are blocked or cut 5. Opening shut with join Rest in the facility before going home. 6. Rest a couple of hours Afterwards: You ought to rest for 2 or 3 days Avoid truly difficult work for a week No sex for no less than 1 week No sex until all the torment is no more. Next Move: Does customer comprehend surgical technique and feel sure to proceed? On the off chance that technique anticipated one more day, orchestrate a helpful time for customer to return. Offer condoms to use meanwhile. In the event that method will be done now, go to next page to exhort customer on what she should recollect after surgery. S4

Medical motivations to return In first week, come without a moment's delay if: Pus or seeping from twisted High fever Pain, warm, swelling, redness of wound Fainting or exceptionally discombobulated Steady or exacerbating torment, issues, delicacy in tummy at whatever time later on, come on the double on the off chance that: You think you might be pregnant Pain or delicacy in stomach, or blacking out

Female Sterilization Medical motivations to return In first week, come on the double if: Over 38°C in initial 4 weeks and particularly first week. High fever Pus or seeping from wound Pain, warm, swelling, redness of twisted Signs of disease. Consistent or compounding torment, spasms, delicacy in gut Fainting or exceptionally unsteady at whatever time later on, come without a moment's delay if: Pregnancy after cleansing is uncommon. Be that as it may, when it occurs, 20% to half of these pregnancies are ectopic. These are indications of ectopic pregnancy. She ought to return quickly whenever later on in the event that she supposes she may be pregnant. You think you might be pregnant Pain or delicacy in gut, or blacking out Last Moves: "Do you feel content with your decision of technique? Is there anything I can rehash or clarify?" Remember to offer condoms for double assurance! Last, most critical message: "Please return whenever you have inquiries or issues." S5

The Male Condom Protects against both pregnancy AND STIs including HIV/AIDS Very viable when utilized EVERY TIME you have intercourse Can be utilized alone or with another family arranging strategy Easy to get, simple to utilize Usually accomplices need to examine Would you jump at the chance to see a condom and figure out how to utilize it? Would you like to know more about this technique, or discuss an alternate strategy?