JRI 
Vol. 8, Issue 4, / January-March 2008
(Original Article, pages 345-351)

Fereshteh Najafi
- Department of Community Health Nursing, Faculty of Nursing & Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
Fatemeh Rakhshani Corresponding Author
- Public Health Department, Faculty of Health, Zahedan Medical Sciences University, Zahedan, Iran

Received: 1/1/2008 Accepted: 1/1/2008 - Publisher : Avicenna Research Institute

Related Articles

 

Other Format

 


Abstract

Introduction: Regret after sterilization, not only requires an expensive surgical procedure for recanalization, but also can affect the couples’ inter and intra-relationships. Whence, undergoing sterilization in Sistan and Baluchestan has the lowest rate compared to other provinces, the habitants’ regret after sterilization may further discourage other volunteers of the procedures. Therefore, this study was launched to determine the regret rate among sterilized people and to explore the underlying causes to help policy-makers improve the way people approach contra-ception and increase their participation. Materials & Methods: this cross-sectional study was done on 100 men and 144 sterilized women selected based on random sampling from 12 rural health and vasectomy counseling centers in Zahedan and Zabol during 2006. A questionnaire was developed and completed by the researchers through interviews. The questionnaire included questions on demographic characteristics, reason (s) for sterilization, reason (s) for regret and kind of complications upon sterilization, and their sources of information on the issue. The data were analyzed by using frequency tables, chi-squared, t-test, and logistic regressions. A p-value <0.05 was considered as the level of signifi-cance. Results: The mean age of sterilized men and women was 41.8±7.6 and 40.6±5.5 years and mean age at the time of sterilization was 38.2±6.7 and 36.3±4.3, respectively. Completion of family size was reported to be the main reason for sterilization by 44% percent of men and 58% of women. In the two groups, 17% of men and 12.5% of women expressed regret after sterilization and believed complications were the most important factor; mostly due to physical complications, and partly because of psychological factors and mood disorders ─ although, it seems that some of these complications have no direct relationship to sterilization. The chi-square test showed signi-ficant differences between the rate of complications and regret rates after sterilization in both men and women (p<0.001). Conclusion: The results showed that complications due to sterilization are the main causes of regret. Therefore, it is necessary to pay more attention to mentioning the probable complications of the procedures such as low back pain, weight gain and mood disorders in women and pain, swelling and decreased libido in men during pre-sterilization counseling; post-sterilization coun-seling is also encouraged for increasing satisfaction rate in these volunteers.



Keywords: Contraception, Regret, Sterilization, Tubectomy, Vasectomy, Tubal Ligation, Complications, Counseling


To cite this article:


References

  1. Cunningham F . Williams obstetrics. 21th ed. Jazayeri H, translator. Tehran: Samat; 2003. p 555-62.
  2. Zanjani H. Population development. 1st ed.Tehran: Golban; 2000. p 171-2.
  3. Ministry of Health and Medical Education. ‎Population and health family in the Islamic Republic of Iran.2006.
  4. Danforth D. obstetrics and gynecology. 1st ed. Rashid Kordestani T, translator. Tehran: Baraye Farda. 2002. p 110-3.
  5. Cox B, Sneyd MJ, Paul C, Delahunt B, Skegg DC. Vasectomy and risk of prostate cancer. JAMA. 2002; 287(23):3110.   [PubMed]
  6. Shodjai Tehrani H, Ebadi Fard Azar F. Population family planning. 1st ed.Tehran: Samat; 2003.p 80-5.
  7. Costello C, Hillis SD, Marchbanks PA, Jamieson DJ, Peterson HB. The effect of interval tubal sterilization on sexual interest and pleasure. Obstet Gynecol. 2002; 100(3):511-7.   [PubMed]
  8. Kelekci S, Erdemoglu E, Kutluk S, Yilmaz B, Savan K. Risk factors for tubal ligation: regret and psychological effects impact of Beck depression inventory. Contra-ception. 2005;71(6):417-420.   [PubMed]
  9. Romanathan M, Mishra US. Correlates of female sterilization regret in the southern states of India. J Biosoc Sci. 2000;32(4):547-58.   [PubMed]
  10. Nervo P, Bawin L, Foidart JM, Dubois M. Regret after tubal sterilization. J Gynecol Obstet Biol Reprod. 2000;29(5):485-91.   [PubMed]
  11. Jamieson DJ, kaufman S, Costello C, Hillis SD, Marchbanks PA, Peterson HB. A comparison of women’s regret after vasectomy versus tubal steri-lization. Obstet Gynecol. 2002;99(6):1073-9.   [PubMed]
  12. Korell M, Englmaire R, Hepp H. Effects of tubal sterilization. Zentralbl Gynakol. 2000;122(1):28-34.   [PubMed]
  13. Angiogenesis weekly. Vasectomy reversal, patient characteristics associated with vasectomy reversal. Atlanta. 1999;16-17.
  14. Trussell J, Guilbert E, Hedley A. Sterilization failure, sterilization reversal, and pregnancy after sterilization reversal in Quebec. Obstet Gynecol. 2003;101(4):677-84.   [PubMed]
  15. Moseman CP, Robinson RD, Bates GW, Propst AM. Identifying women who will request sterilization rever-sal in a military population. Contraception. 2006;73 (5):512-5.   [PubMed]
  16. Manhoso FR, Hoga LA. Men’s experiences of vasec-tomy in the Brazilian public health service. Int Nurs Rev. 2005;52(2):101-8.   [PubMed]
  17. Dunmoye OO, Moodley J, Popis M. Vasectomy in developing countries. J Obstet Gynaecol. 2001;21(3): 295-7.   [PubMed]
  18. Curtis KM, Mohllajee AP, Peterson HB. Regret following female sterilization at a young age: a sys-tematic review. Contraception. 2006;73(2):205-210.   [PubMed]
  19. جهان بخشي كرمانشاهي سهيلا. بررسي و مقايسه دلايل پشيماني زنان و مردان پشيمان از عمل عقيم سازي در ساكنين شهرستان كرمانشاه كه در مراكز بهداشتي‌ـ درماني وابسته به دانشگاه علوم پزشكي كرمانشاه تحت عمل جراحي قرار گرفته‌اند. پايان نامه كارشناسي ارشد دانشگاه علوم پزشكي ايران، 1376.
  20. خيرالهي عبدالرضا، احمدي پور شكوفه. فراواني عوارض ديررس وازكتومي. فصلنامه علمي‌ـ پژوهشي دانشگاه علوم پزشكي لرستان، دوره هفتم، شماره 3 و4، سال1384، صفحات: 18-15.
  21. Ozgoli G, Ahmadi M, Goli SH, Akbarzadeh Baghban A. Comparison of knowledge, attitude and other related factors to sterilization between sterilization method users and contraceptive methods users in Hamedan.J Reprod Infirtil. 2004;5(3):267-59.
  22. Sandlow JI, Westefeld JS, Maples MR, Scheel KR. Psychological correlates of vasectomy. Fertil Steril. 2001;75(3):544-8.   [PubMed]
  23. Nayer I, Akter SF, Hossain S, Luci RH. Acceptancc of long-term contraceptive methods and its related factors among the eligible couples in a selected union. Bangladesh Med Res Counc Bull. 2004;30(1):31-5.   [PubMed]
  24. Schwingl PJ, Guess HA. Safety and effectiveness of vasectomy. Fertil Steril. 2000;73(5):923-3.   [PubMed]
  25. Nagarajappa D. A study on knowledge of married men on Non-Scalpel Vasectomy. Nurs J India. 2005;96 (10):325-8.   [PubMed]

COPE
SID
NLM
AJMB
IJBMLE
IJBMLE

Home | About Us | Current Issue | Past Issues | Submit a Manuscript | Instructions for Authors | Subscribe | Search | Contact Us

"Journal of Reproduction & Infertility" is owned, published, and managed by Avicenna Research Institute .
Creative Commons License

This work is licensed under a Creative Commons Attribution –NonCommercial 4.0 International License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

Journal of Reproductoin and Infertility (JRI) is a member of COMMITTEE ON PUBLICATION ETHICS . Verify here .

©2024 - eISSN : 2251-676X, ISSN : 2228-5482, For any comments and questions please contact us.