Sterilization of women by the method of tightening and cutting the proboscis of the uterus

The article was consulted professionally by Specialist Doctor II Bui Thi Thu and Specialist Ii Tran Thi Mai Huong – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub.

Female sterilization by the method of tightening and cutting the proboscis of the uterus is the safest permanent contraceptive in women. This method is very popular in most popular countries and developed countries such as China, USA, Australia … because it is simple, it brings very high efficiency without affecting the psycho-psychological health of the sisters.

1.What is female sterilization with a knot and a cut of the proboscis?

Female sterilization by the method of tightening and cutting the proboscis of the uterus is a surgery that disrupts the proboscis of the uterus, preventing the sperm from meeting the ovule to perform fertilization. This is a permanent contraceptive, the contraceptive effect is very high (>99%) and does not affect health, sex. However, it should be noted that female sterilization does not avoid sexually transmitted infections and HIV/AIDS.

Female sterilization is a measure that disrupts the proboscis of the uterus

Female sterilization is a measure that disrupts the proboscis of the uterus

2. Pros and cons of female sterilization with a tightening and cutting of the uterus proboscis

2.1 Advantages

Female sterilization by the method of tightening and cutting the proboscis has the advantages that are:

  • High contraceptive efficiency, one-time surgery has a permanent contraceptive effect.
  • After surgery safety has an immediate contraceptive effect and no side effects.
  • In essence, the process of ovulation still takes place, which does not affect menstruation.
  • Does not affect gender, personality, health and sexual activity.

2.2 Disadvantages

The disadvantages of female sterilization by the method of tightening and cutting the proboscis of the uterus are:

  • Health Hubized and operated on.
  • A qualified medical facility is required and a team of doctors with expertise in female sterilization during surgery.
  • The cost of surgery is expensive.
  • Difficulty restoring fertility.
  • Accidents are prone to failure to follow strict surgical procedures.

3. Intraining and contrain specifying the implementation of female sterilization


You can carry out female sterilization by the method of tightening and cutting the proboscis of the uterus if you belong to the following group of subjects:

  • Women of child age already have the desired number of children, healthy children, voluntarily apply a permanent contraceptive and do not recover after adequate counseling.
  • Women with contrained diseases get pregnant.

Patients with signs of pelvic inflammation should be carefully prepared before sterilization

Patients with signs of pelvic inflammation should be carefully prepared before sterilization

3.2 Contrainttrained

Female sterilization is not a method for everyone. This measure has no absolute contrainctrainments, but before carrying out female sterilization it is necessary to consider and exercise caution and postpone implementation in special cases:

Cases where caution should be exercised (normally possible with special preparation) if the female has one of the following characteristics:

  • Obstetric pathology (used or ongoing) such as: history of pelvic inflammation from previous pregnancy, uterine fibroids, breast cancer,pelvic or lower abdominal surgery.
  • Cardiovascular diseases such as hypertension (140/90 – 159/99 mmHg), a history of stroke or unsymified heart disease.
  • Chronic diseases suchas: menopause, unprotic diabetes, compensatedcirrhosis, liver tumors or schistomomiasis liver infections, thyroidoids, moderate iron deficiency anemia (hemoglobin 7-0g/Dl), sickle cell disease, thalassemia, kidney disease,diaphragm hernia, severe malnutrition, obesity, depression or young.

Cases of postponement if the customer has one of the following characteristics:

  • Pregnancy or during 7 – 42 days of post-maternity.
  • Post-maternity of pregnancy with pre-production or seizures.
  • Post-birth complications, after severe scraping such as bacterial infections, hemorrhages, injuries or severe ovarian blood retention, abnormal vaginal bleeding suggest medical pathology.
  • Pelvic inflammation or CTC purulent inflammation, Chlamydia or gonorrhea CTC inflammation.
  • Pelvic cancer or malignant culture cell disease.
  • Symptomatic gallbladder pathology or acute super-hepatic liver.
  • Severe iron deficiency anemia (hemoglobin< 7 g/Dl).
  • Lung diseases such as: pneumonia, bronchitis.
  • Body infections or abdominal skin infections.
  • The person preparing for surgery is caused by an emergency or by infection.

Special preparations are required (experienced surgeons or means of in-administration anesthesia or necessary resuscitation facilities), if the client has one of the following characteristics:

  • Have AIDS or a fixed uterus due to previous surgery, due to infection or diagnosis of endometriosis, umbilical hernia or abdominal wall or rupture, perforation of the uterus after birth, after an abortion.
  • Many conditions can increase the risk of stroke such as older age or with heavy smoking, blood pressure, diabetes mellitus or current severe hypertension (>= 160/100 mmHg) or diabetes mellitus with complications.
  • Medical conditions such as: de-compensatory cirrhosis,yroidism, blood clot disorders, chronic lung disease or pelvic tuberculosis.

4. Does female sterilization surgery hurt?

Before performing a uterus proboscis surgery and a proboscisremoval, the client needs to be insymed to relieve prolonged pain after surgery. Analgesic is taken with painkillers and sedatives injected into the intravenous route 30-60 minutes before surgery, or given 5mg if the client is too worried. You are still conscious but feel drowsy and just feel a little uncomfortable during surgery. Depending on health conditions, equipment and experience, one of the following 3 techniques can be applied:

  • Local anesthesia with 1% lidocain. The maximum dose should not exceed 4.5 mg/kg of body weight (women 50kg maximum dose la 25ml lidocain 1%).
  • In-administration anesthesia is introstited for those who are unable to perform local anesthesia (usually applied to cases of obesity, sticky old incisions , psychiatric patients).
  • Sural anesthesia is rarely applied.

The following two methods are only used in hospitals.

Female sterilization surgery should be consulted in hospital

Female sterilization surgery should be consulted in hospital

5. When to proceed

Female sterilization can be carried out at any time during menstruation when sure:

  • Not pregnant.
  • After calving usually : The best time is within the first 7 days or delayed to the time after 6 weeks after calving.
  • After an abortion: Within the first 7 days (if the uterus is clean, not infected).
  • Combining sterilization after lower abdominal surgery for other reasons (abortion surgery, ovarian cyst surgery…) and customer requirements.

Before deciding to perform female sterilization by the method of tightening and cutting theproboscis, customers need to be consulted thoroughly and sign a voluntary application for sterilization.

6. Monitoring and care after sterilization

Subjects conducting female sterilization must be monitored for general condition, pulse, blood pressure, breathing in the first 6 hours after the procedure and can go home after a stable condition (usually during the day). The signs that customers have stabilized are:

  • The customer stands firmly as he closes his eyes and puts his hands straight ahead (Romberg sign).
  • Customers are alert, self-dressing.
  • Use antibiotics if there is a risk of infection.

Care for the incision immediately after sterilization:

  • Keep the incision dry, clean.
  • It is possible to bathe after 24 hours, take a gentle bath to avoid wetting the incision.
  • Avoid touching incisions
  • Cut only the incision on the 6th day at the commune health station (if stitched with inded only).
  • Avoid heavy work and avoid sexual activity for 1 week.

Avoid touching the incision and keep hygiene after sterilization

Avoid touching the incision and keep hygiene after sterilization

7. Post-surgery sensation

After sterilization of the female by the method of tightening and cutting theproboscis of the uterus , you may feel fatigue, mild abdominal pain or shoulder pain. There may also be feelings of dizziness, nausea, bloating. Most of these symptoms persist for only a few days. Contact your doctor or visit your medical facility directly as soon as you have the following symptoms:

  • fever.
  • Abdominal pain does not decrease or increase.
  • Bleeding, pus in the incision.
  • Swelling of the operating area.
  • Delayed menstruation,suspected pregnancy.

8. Complications and complications

Female sterilization surgery by tightening and cutting the uterus proboscis is prone to accidents if it does not follow strict surgical procedures. Possible accidents are:

  • Bleeding in the abdomen.
  • Pelvic infections, peritonitis.
  • Formation of hematomas.
  • Bleeding and incision infections.
  • Some rare conditions: damage to the uterus, intestines, bladder.
  • Failure after sterilization may be met with an extra-intra-intra-uterus pregnancy.

It should be emphasized that female sterilization does not protect you against sexually transmitted diseases, so you should use a condom.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE


  • Nourishing the proboscis and ovaries after female sterilization
  • Is it possible to get pregnant naturally after sterilization?
  • In what cases is an X-ray of the uterus and proboscis (HSG scan)?

About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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