Intrauterine contraception as an alternative to interval tubal sterilization.
In countries where levonorgestrel-releasing IUD use has increased, the incidence of female surgical sterilization procedures has decreased. Will the same inverse relationship appear in the United States, and, if so, what would be the medical implications of such a transition in long-term contraception? A recent UK review compared long-term contraception with IUDs vs. surgical sterilization; here we compare these two approaches from a US perspective. We focus on interval tubal sterilization by laparoscopy or laparotomy and will not consider postpartum sterilization. (excerpt)