title: Nontraumatic tubal occlusion as a new technique for female voluntary sterilization.
abstract: Female voluntary sterilization is the most popular method of contraception worldwide. It is estimated that around 138 million or 16% of fertile couples, have been sterilized by this method. Female sterilization has been widely employed in Bali since 1970, in accord with '100' formula. The acceptance rate of female sterilization as a family planning method is 7.8% in Bali, and 5.1% nationally in Indonesia. But late complications associated with psychosomatic, psychosexual and menstrual disturbances are not infrequently found, complications attributed to the damage of ovarian blood vessels during the operation. Over the years the female sterilization acceptance rate has kept increasing, especially among the younger age group (around 30 years). A nontraumatic tubal occlusion technique has been developed to preserve the ovarian blood vessel during surgery. With the new technique, late complications could be overcome so women could enter a normal menopausal period. This new technique described here needs further study.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Udayana University, Denpasar, Indonesia.
authors.forename: I B
authors.initials: IB
authors.lastname: Manuaba
mesh_terms: D005187:Fallopian Tubes / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007214:Indonesia; D010053:Ovary / Q000098:blood supply; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000379:methods*; D013525:Surgical Instruments; D013514:Surgical Procedures, Operative / Q000379:methods*