Abstract
Background
Sterilization is the most commonly used method of contraception in the United States;
however, little is known about how providers counsel about these procedures or the
information patients desire. In this study, we explore male and female experiences
of sterilization counseling and their perspectives on ideal sterilization counseling.
Study design
In-depth individual and group interviews were conducted with 37 heterosexual couples
between the ages of 25 and 55 years. Each couple had reached their desired family
size. Interviews were recorded and transcribed using NVivo software and analyzed using
modified grounded theory.
Results
Men and women differed in their experiences of sterilization counseling. Women commonly
received counseling on female sterilization but not vasectomy, while men rarely discussed
either form of sterilization with their providers. Both men and women desired more
information about sterilization.
Conclusions
Contraceptive counseling of couples who have completed childbearing does not routinely
include men or the option of vasectomy, despite the advantages of this method with
respect to safety, efficacy and cost. Family planning and primary care providers have
an important role in ensuring that couples are aware of all their options and can
make an informed decision about their contraception.
Keywords
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Article info
Publication history
Published online: November 23, 2012
Accepted:
October 19,
2012
Received in revised form:
August 31,
2012
Received:
June 29,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
