Sexual sterilization via vaginal fimbriectomy.
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Sexual adjustment after laparoscopic sterilization has been investigated in a Danish population. The study comprises 659 patients who underwent laparoscopic sterilization during the 4-year period 1980-1983. The study focused on libido, coital frequency, coital enjoyment, lack of excitement, sexual life and feelings of femininity after sterilization in one group of patients satisfied with the sterilization and in another group dissatisfied with the decision to undergo tubal sterilization. There was no difference in libido, coital frequency and sexual satisfaction between the two groups. However, a significant difference was seen between the two groups concerning lack of excitement in sexual life, perception of a more relaxed sexual life, and, finally, perception of changed femininity.
The increasing demand for abortion and sexual sterilization has caused the need to perform such operations on an outpatient basis. The University Department of Obstetrics and Gynaecology, Singapore, started a prospective study of culdoscopic ligation as an outpatient procedure in November, 1972. To date, over 600 operations have been performed. Analysis of the first 405 cases showed a low complication rate of 2.4 per cent. This study showed that culdoscopic ligation performed in the hospital outpatient is safe and feasible.
Sexual sterilization of mammals by the production of an obstruction at the tubo-uterine junction has been reevaluated experimentally. The application of 0.15 ml of methyl 2-cyanoacrylate monomere to the junction in rabbits produced, at intervals from 1 to 6 weeks later, histological, hydrodynamic, and functional evidence of tubal obstruction.
OBJECTIVE: To determine if interval tubal sterilization leads to a change in female sexual interest or pleasure and to identify predictors of a positive or negative effect. METHODS: Our study population comprised 4576 women enrolled in a prospective, multicenter cohort study between 1978 and 1983. Potential demographic, clinical, and surgical predictors of sexual outcome were tested for significant variation from the overall pattern of unchanged, increased, and decreased sexual interest and pleasure. RESULTS: Over 80% of the 4576 study women reported no consistent change in either sexual interest (80.0%) or pleasure (81.7%) after interval tubal sterilization. Among women with consistent change, positive effects were reported ten and 15 times more often than negative effects for sexual interest and pleasure, respectively. All subgroups of women, except for those with poststerilization regret, were significantly (P <.05) more likely to experience increased rather than decreased interest or pleasure. Women with poststerilization regret were the subgroup most likely to have a negative effect; in multivariate analyses, poststerilization regret was the only factor to be a predictor for decreased interest (odds ratio 4.0) and decreased pleasure (odds ratio 5.1). Similarly, women reporting regret were significantly less likely to report increased interest or pleasure. Whether the regret or the decreased sexual interest or pleasure occurred first is unclear. CONCLUSION: Interval tubal ligation is unlikely to result in changed sexual interest or pleasure. Among those with change, the majority experienced positive sexual effects.
The principle of animal population control through the use of sexually sterile males has been demonstrated for insects. Sexually sterile males that retain their sexual vigor and behavior will exert greater influence in regulating animal populations than can be achieved by destroying or removing the same number of individuals from the population. This hypothesis is supported by calculations showing theoretical population trends in assumed insect and animal populations subjected to treatments that destroy or eliminate certain percentages of the individuals as compared with a procedure that retains or replaces the same number of males in the population after sterilization. The maximum regulating effect that can be achieved is in direct proportion to the ratio of sterile to fertile males competing for mates. The advantages of inducing sexual sterility in a natural population of an insect species by chemical or other treatment over the method of rearing and releasing a dominating population of sterile males are considered. It is suggested that the sterile-male method may have practical application for undesirable populations of certain wild animals as well as for insects.
Sterility may influence the life of man and woman in different ways. Besides influences of social life, family and even profession most important are the sexual disturbances: in 10% of patients libido is diminished by the regimentation of intercourse, and even erectile dysfunction may occur in up to 20% of men. Remarkably also the treatment of sterility may cause sexual problems which may be the reason to stop any treatment. In sterility patients sexual problems have to be interpreted as sign of disturbed relations, and in many cases all sterility treatments have to be stopped and psychological aid has to be offered.
In some couples, an absence of pregnancy may be related to sexual difficulties. They should always be considered if the couples do not mention this subject. It is also necessary to keep in mind that sterility may result in sexual problems. In all cases, it is the physician's responsibility to listen to, reassure and comfort the couples who look to him/her for the realisation of their dream: having a child.
Sterilization of males can in certain circumstances be more efficient than killing as a method for control of insects and perhaps other pests. A number of chemicals (chemosterilants) show promise of producing sexual sterility in insects without some of the practical limitations of radiation. The most important compounds are alkylating agents. These have little immediate pharmacological action, but are notable for their selective action against haematopoietic and some other proliferating tissues. A number of alkylating agents have been shown to be mutagens in insects, bacteria, fungi, and higher plants; carcinogens in mammals; and teratogens in insects, birds, and mammals. Some produce sexual sterility, possibly in mammals as well as in insects, at doses too low to produce the other effects. Some have an established reputation as drugs for palliative treatment of leukaemia and other neoplasms.The development of insect sterilization as a vector control technique has been handicapped in part by lack of scientific information on the acute and long-term hazards that might be associated with the use of chemosterilants. In this paper the author brings together the available knowledge on the toxicology of the alkylating agents.