Clinical Edge

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Women’s Preferences for Permanent Contraception

Contraception; ePub 2018 Oct 6; Piazza, et al

Among a diverse group of women from 2 different regions in the US, salpingectomy was preferred permanent contraception method over tubal occlusion, a recent study found. Researchers invited pregnant and non-pregnant women planning permanent contraception at the University of California Davis (UCD) and University of Tennessee (UT) Obstetrics and Gynecology clinics to participate. They received standardized information sheets reviewing permanent contraception options based on pregnancy status then completed an anonymous survey with questions about demographics, method preference, and willingness to participate in a hypothetical randomized trial comparing salpingectomy and tubal occlusion. Among the findings:

  • A total of 138 women were enrolled.
  • Overall, respondents preferred salpingectomy (63.0%); among the 47 women not currently pregnant, 40 (85.1%) preferred salpingectomy.
  • The mostly common reason for preferring salpingectomy vs tubal occlusion was higher efficacy.
  • Differences in method choices less likely reflect the patient population (demographics) and more likely the counseling provided.
  • Most participants would not be willing to be randomized to a theoretical trial comparing the procedures.


Piazza A, Schwirian K, Scott F, et al. Women’s preferences for permanent contraception method and willingness to be randomized for a hypothetical trial. [Published online ahead of print October 6, 2018]. Contraception. doi:10.1016/j.contraception.2018.09.004.

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Must Reads in Contraception

Efficacy of a Levonorgestrel 52-mg IU System, Obstet Gynecol; ePub 2018 Dec 4; Teal, et al

Barriers to Contraception After Vaginal Delivery, Contraception; ePub 2018 Nov 19; Flink-Bochacki, et al

Postpartum Initiation of Contraception Implants, Contraception; ePub 2018 Nov 5; Averbach, et al

Women’s Preferences for Permanent Contraception, Contraception; ePub 2018 Oct 6; Piazza, et al

Intended Pregnancy After Being Denied an Abortion, Contraception; ePub 2018 Sep 20; Upadhyay, et al