Bilateral tubal sterilization and vasectomy are both safe and effective permanent methods of contraception; more than 220 million couples worldwide use them as their contraceptive method of choice (1). Sterilization continues to be the most commonly used contraceptive method in the United Stales, with. 11 million U.S. women relying on the method. Approximately 700,000 tubal sterilizations (2) and- 500,000 vasectomies (3) are performed in the United States annually. The purpose of this document is to review the evidence for the safety and effectiveness of sterilization in comparison with other forms of contraception, as well as evidence of the. likelihood that a woman will regret having had a sterilization procedure.
(C) 2003 The American College of Obstetricians and Gynecologists