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Objections to tubal sterilization: what reversibility can and cannot overcome.

Abstract：

:In a study of 1074 women, 696 and 338 subjects would not seriously consider permanent and hypothetically reversible sterilization, respectively; they were asked to explain their feelings. The reason accounting for most objections to permanent sterilization (65%) was irreversibility and of the subjects who would not consider reversible sterilization or were unsure, 42.7% attributed their principal objection to unnecessary surgery, a factor at least currently intrinsic to the procedure and not readily overcome by education. Many of the remaining objections to both permanent and reversible sterilization may be amenable to change either through education or financial subsidies. In response to a question concerning female attractiveness subsequent to permanent sterilization, 3% of the sample felt attractiveness would decrease and 17.5% were unsure of the surgery's effect. Unsure responses were largely negative in character. This issue is important because of its relationship to intention to undergo sterilization. Upon consideration of reversible sterilization, negative and unsure responses significantly declined, even on the part of those women whose friends have had a poor experience with currently available procedures. Thus, whereas the option of reversibility cannot overcome objections to surgery, it does overcome those regarding permanency; moreover, the "temporary" character it bestows upon surgical sterilization appears to help certain individuals overcome their fears of losing their physical appeal as a result of such procedures. :In a study of 1074 women, 696 and 338 subjects would not seriously consider permanent and hypothetically reversible sterilization. The reason for most objections to permanent sterilization (65%) was irreversibility and of the subjects who would not consider reversible sterilization or were unsure, 42.7% attributed their principal objection to unnecessary surgery, a factor at least currently intrinsic to the procedure and not readily overcome by education. Many of the remaining objections to both permanent and reversible sterilization may be amenable to change either through education or financial subsidies. In response to a question concerning female attractiveness subsequent to permanent sterilization, 3% of the sample felt attractiveness would decrease and 17.5% were unsure of the surgery's effect. Unsure responses were largely negative in character. This issue is important as it is related to intention to undergo sterilization. Upon consideration of reversible sterilization, negative and unsure responses significantly declined, even among those women whose friends had a poor experience with currently available procedures. Thus, whereas the option of reversibility cannot overcome objections to surgery, it does overcome those regarding permanency; moreover, the "temporary" character of surgical sterilization appears to help certain individuals overcome their fear of losing their physical appeal subsequent to such procedures.

journal_name

Contraception

journal_title

Contraception

authors

Shain RN

doi

10.1016/s0010-7824(80)80001-1

subject

Has Abstract

pub_date

1980-09-01 00:00:00

pages

213-25

issue

eissn

0010-7824

issn

1879-0518

pii

S0010-7824(80)80001-1

journal_volume

pub_type

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Objections to tubal sterilization: what reversibility can and cannot overcome.