Permanent contraception (sterilization) Quiz: Ace Your Exams

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A 38-year-old woman, gravida 1, para 1, presents to the clinic requesting permanent sterilization. She has been using a levonorgestrel-releasing intrauterine device (LNG-IUD) since the delivery of her child five years ago. She has been experiencing irregular spotting, so she would like the device removed, and she is firm in her desire for sterilization. Past medical history is notable for a single uncomplicated vaginal delivery at term and occasional migraine headaches. She has no prior surgeries, family history is non-contributory, and the physical exam is unremarkable. Appropriate comprehensive counseling is provided, and the provider offers the option of laparoscopic bilateral salpingectomy, which the patient accepts without reservation. Which of the following pieces of information should be included in comprehensive counseling?

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The procedure will increase her risk of a future ectopic pregnancy

The procedure is not 100% effective

She is at increased risk of future regret.

The procedure is potentially reversible, though reversal may be expensive or ineffective.

The procedure will increase her risk of ovarian cancer