What is sterilization???
Sterilization is a process in which a person either male or female is made unable to reproduce. It is a method of contraception and one of the most effective ways of birth control. Sterilization does have an old history but the latest evolution in science and medical studies have provided with a more knowledge of its implementations and methods.
Types of sterilization
Sterilization is done both in men and women and there are different methods of sterilization, we will mainly discus the surgical methods because that is when an informed consent carrier utmost importance.
Male sterilization is done by vasectomy. Vas deferens is a structure in males that connects the testicles to the prostate and is the reason for mechanical transport of sperms. This connection is cut and ligated and a male becomes infertile for life.
Female sterilization is done either by Bi-tubal Ligation or by hysterectomy depending upon the situation and case background.
- The most common method of female sterilization is Tubal ligation in which both the fallopian tubes are cut and ligated and thus the passage of egg is blocked forever. The success rate of tubal ligation is very high that is 99%. There are certain prerequisites of tubal ligation and must they must be fulfilled before performing any procedure.
- The second method of female sterilization is the
hysterectomy. In hysterectomy, the entire uterus of femaleis removed. Uterus, the site where an embryo implants and nourishes itself and a womb is formed. Hysterectomy is often done in aged females and is now restricted to only caseof uterine fibroids or fatal and cancerous uterine conditions. The contraceptive purpose of hysterectomy is not recommended now a day.
Pre-requisites of sterilization
- Family of couple must be complete
- Both partners must agree on the decision
- Whoever is undergoing the sterilization procedure, a fully informed consent is necessary.
Consent for sterilization
Consent for sterilization is very important because it has many implications on social, psychological and social grounds.
Who can consent for sterilization??
The person who is undergoing the procedure has to consent for it and no one else can legally sign the consent form other than the patient himself.
However, in Asian countries specially the central Asian countries, it is a common practice that consent of husband is given prime importance. Without the signatures of husband and consent written in husband’s own handwriting, the procedure is never performed.
What to write in Sterilization consent form?
Patient writes his complete name, his date of birth, date when consent is being signed and he has to mention that he was fully informed about his condition and he fully understands the procedure and outcomes especially the fact that this procedure cannot be reversed no matter what.
Patient has to carefully read the form and then sign it in the presence of doctor and witnesses each from both sides.
Similarly, doctor also signs the consent form and, in the end,, witnesses from both sides have to sign the consent form.