Sterilisation is a popular form of contraception worldwide. However, 10% of people who are sterilised regret their decision and 1% seek a reversal. Younger people with less children are more likely to regret their decision. Even though some sterilisations are reversible, it should be considered as an irriversible procedure. Both male and female sterilisation carry a failure rate.

Female sterilisation

This normally involves a laparoscopy. If laparoscopy fails there is a risk of an open procedure. A newer method has been developed that is done at hysteroscopy.

Male sterilisation

Vasectomy is much safer than female sterilisation. It can usually bedone under local anaesthetic. However, men have to wait until two clear specimens are obtained before other contraception can be stopped. Recent reports have led to a suggestion of an association between vasectomy and a small increased risk of prostate cancer.