Contraception and Sterilisation

Temporary or reversible contraception:

There are several options for temporary or reversible contraception including:

• The contraceptive pill
• Progesterone injections
• Implanon
• IUDs such as Mirena
• Diaphragm
• Condoms, etc.

I am happy to discuss these options to find the most appropriate choice of contraception to address each individual’s contraceptive needs.

When permanent or definitive contraception is required, there are two main surgical options:

Tubal Ligation/Occlusion

Virtually all tubal ligation/occlusion in non-pregnant women is done via a key-hole procedure known as laparoscopic tubal ligation/occlusion. The laparoscopic procedure involves two or three 1 cm incisions. The two techniques performed involve the use of clips known as Filshie clips or removal of a segment of fallopian tube, called partial salpingectomy.

Essure

Essure is a titanium coil that is inserted into the fallopian tubes via a minimally invasive procedure using a hysteroscope, which is inserted vaginally. The body grows scar tissue around the coils, blocking the tubes irreversibly, and preventing future pregnancies. It is a day procedure where no incisions are made. Recovery is immediate, with most women going back to work or their everyday activities the following day.