Abstract

This chapter provides an overview of sterilization counseling. There has been a great increase in the number of patients requesting sterilization as a means of family limitation. The reasons for this may be primarily economic. In developed countries, the strain of raising a large family is increasing, and women are demanding greater social freedom and a sexual life free from the chance of pregnancy. The pressure of world population problems, relaxation of legal restrictions, and reduced risk of anesthetic and operative complications have combined to encourage physicians to comply with this demand. It is desirable that both partners are interviewed, either together or individually, and there must be no doubt of the irreversibility of the procedure. Good counseling ensures that few patients subsequently regret the operation and obviates the need for a patient to fulfill arbitrary criteria relating to her age and parity before being considered for sterilization.

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