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Elizabeth Hintz, Assistant Professor of Health Communication, University of Connecticut

What is voluntary sterilization? A health communication expert unpacks how a legacy of forced sterilization shapes doctor-patient conversations today

Conversations between patients and their doctors about permanent birth control procedures can at times be fraught and influenced by long-standing stigmas. Courtney Hale/E+ via Getty Images

Sterilization is a safe and effective form of permanent birth control used by more than 220 million couples around the world. Despite its prevalence, however, patients seeking sterilization from their doctors often face a surprising number of challenges.

In men, the sterilization process is known as a vasectomy, which involves severing the tubes that carry the supply of sperm to the semen. In women, sterilization involves a procedure called tubal ligation. In this form of permanent birth control, the fallopian tubes are severed – or ligated – preventing eggs produced by the ovaries from traveling through the fallopian tubes to fertilize an egg. Vasectomies and tubal ligations can be reversed in some cases, although success rates vary widely.

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