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Identifying women who will request sterilization reversal in a military population.

Moseman CP, Robinson RD, Bates GW, Propst AM

Division of Reproductive Endocrinology and Infertility, Wilford Hall Medical Center, Department of Obstetrics and Gynecology, San Antonio Uniformed Services Health Education Consortium, Lackland Air Force Base, TX 78236, USA.

OBJECTIVE: We sought to identify the characteristics of women in a military population who are likely to seek a tubal anastomosis after a previous bilateral tubal ligation (BTL). METHOD: A written investigational review board-approved questionnaire was administered to 56 women, ages 18-40 years, requesting evaluation for a reversal of a prior BTL and 52 women of the same age range not seeking reversal. The questionnaire identified demographics and relationship characteristics of volunteers at the time of their decision to have a BTL and at the present time. RESULTS: Age 25 years or younger, sterilization due to pressure from a partner, poor marital relationship at the time of the BTL and a new marriage are highly predictive of tubal sterilization regret and a request for sterilization reversal in a military population. In addition, women requesting a tubal anastomosis reported less preoperative counseling on the permanence of a BTL and of the male alternative for permanent female sterilization, vasectomy. CONCLUSION: Women with these characteristics should have extensive counseling before undergoing tubal sterilization.

Published 21 April 2006 in Contraception, 73(5): 512-5.
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