Surgical sterilization: selected demographic and sexual health - related aspects

Birth control has been obfuscated in some countries by presumed national interests. The military needs young people. In Russia, some professional and popular publications are biased, exaggerating or inventing adverse effects of contraception and abortions. The mass misinformation can be seen as a reproductive coercion sanctioned by the state. Sexual and reproductive coercion can lead to unfavorable pregnancy outcomes, sexually transmitted and hereditary diseases, psychiatric and other derangements. The tubal sterilization and vasectomy are reliable methods of permanent contraception. Being a less invasive procedure, vasectomy is generally preferable to the surgical procedures in women, apart from cesarean tubal sterilization. Cesarean section is an opportunity to provide permanent contraception without additional trauma. Bilateral salpingectomy at the time of cesarean delivery is safe; reportedly, it reduces the risk of ovarian cancer and may have a positive impact upon sexuality. According to surveys, a majority of women are pleased with their decision to be sterilized. A systematic performance of tubal sterilization could be an efficient birth control method, counteracting both the overpopulation and gender imbalance in some regions. However, mass vasectomy is preferable for ethical and technical reasons. Availability of good quality service is important.