Permanent contraception (sterilization) Quiz: Ace Your Exams
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A 34-year-old woman, gravida 4, para 4, presents to the clinic for her six-week postpartum visit and requests sterilization. She is currently using the progesterone-only pill for contraception. Past medical history is notable for four uncomplicated spontaneous vaginal deliveries. She has no history of gynecologic abnormalities or prior surgery. Her family history is notable for ovarian cancer in her mother, diagnosed at age 65. BMI is 26 kg/m2 and the physical exam is unremarkable, with the uterus fully involuted. Comprehensive counseling is provided regarding permanent sterilization, and the patient expresses her clear desire for sterilization. Which of the following would be the best procedure/technique to recommend for this patient?
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