Female Sterilization ● Transcervical → flexible agents are placed into the fallopian tubes which causing therefore leading to occlusion of the fallopian tubes. This procedure can be done without the use of general anesthesia. Effectivenesstakes up to 3 months. Client must take contraceptives for the first 3 months until the provider knows whether the tubes are blocked or not. Not for PP patients ○ Risks: ■ Perforation ■ Increased risk for ectopic pregnancy if one were to occur ● Tubal ligation → done under general anesthesia. Sever or burn the fallopian tubes to prevent fertilization. It can be done PP ○ Risks: ■ General complicationsthat occur with general anesthesia ■ Increased risk for ectopic pregnancy if one were to occur ○ Advantages ■ Permanent, immediate contraception ■ This method can be done within 24-48 hours after childbirth ■ Sexual function is unaffected ■ Decreases the incidence of ovarian cancer ○ Disadvantages ■ Does not protect against STIs ■ Risks related to anesthesia, complications, hemorrhage, and trauma ■ Considered irreversible Male Sterilization ● Vasectomy → sever the ves deferons. Alternative form of contraception will need to be used for about 20 ejaculations in order for the sperm to empty out the rest of the ves deferens. ○ Testing forsperm count isimportant ○ Can be reversible ○ Get follow up testing before you stop the alternate contraception Infertility ● Couple has been unable to conceive for a period of time (usually 12 months) ● Diagnostic tests