In countries where levonorgestrel-releasing IUD use has increased, the incidence of
female surgical sterilization procedures has decreased [
1
,
2
]. Will the same inverse relationship appear in the United States, and, if so, what
would be the medical implications of such a transition in long-term contraception?
A recent UK review compared long-term contraception with IUDs vs. surgical sterilization
[
[2]
]; here we compare these two approaches from a US perspective. We focus on interval
tubal sterilization by laparoscopy or laparotomy and will not consider postpartum
sterilization.To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 26, 2007
Accepted:
September 12,
2007
Received in revised form:
September 12,
2007
Received:
June 15,
2007
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Re: Intrauterine contraception as an alternative to interval tubal sterilizationContraceptionVol. 78Issue 1
- PreviewWe read with interest the article by Grimes and Mishell [1] on intrauterine contraceptive devices (IUD) and tubal sterilization. They elaborate on the usefulness of IUD compared to interval tubal sterilization. However, there are some issues that need further consideration. The cost of IUD, especially the cost of levenogestrel-releasing IUD (LNG-IUS), should gather the most speculation. It is important to analyze 5-year cost of contraceptives and their effectiveness and choose the least expensive methods.
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