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Surgery

So you think you need . . . a tubal ligation - What to do instead

The purpose of sterilisation is simply to prevent pregnancy, but there are plenty of non-hormonal methods of contraception that carry less risk. More than half of all women seeking TL aren't adequately informed about less-permanent methods (Eur J Contracept Reprod Health Care, 2004; 9: 57-68), and it really shouldn't be an option if you’re under 30. Don’t forget about:

* Male and female condoms, which are, respectively, 98 and 95 per cent-effective barrier methods

* Diaphragms and caps, which are 92-96 per cent effective and more eco-friendly barrier methods. They are used with natural or chemical spermicides. Natural spermicides include lactic acid, aloe and lemon juice, and honey (‘honey cap’; see www.naturalchild.co.uk)

* Natural family planning (NFP), which is as much as 98-per-cent effective if followed correctly. It involves taking your temperature, checking cervical secretions and the position of the cervix daily. It takes three to six months to learn, and requires commitment and discipline

* Lactational amenorrhoea method (LAM), which is 98-per-cent effective if you are regularly breastfeeding a baby of less than six months, and your periods have not returned.

Natural family planning - Natural family planning described by detractors as the rhythm method or Roman roulette is finally beginning to be recognized by the medical establishm...

So you think you need . . . a tubal ligation - Female sterilisation is touted as a safe and hassle-free means of permanently ridding yourself of having more children, particularly for the over-40s....

So you think you need . . . a tubal ligation - If you must have the operation . . . - * Make sure you thoroughly consider all other possible methods of contraception before resorting to TL

Honey: It’s such a good wound-healer that surgeons are urged to use it - Surgeons are being urged to apply honey to the patient’s wounds after surgery. A new study suggests that it is one of the most effective methods for...

Rhythm method: as good as the pill - Natural family planning - or the rhythm method - is easy to use and as reliable as the Pill, according to a research team at a UK Birmingham hospital.

Female sterilization - Q:What are the long term side effects of sterilization by plastic clamps or cutting women's fallopian tubes and abortion by vacuum suction and general...

Night-time coughing: Honey is the best remedy - Honey is about the best remedy to give your child if he or she is unable to sleep because of coughing fits. It outperforms cough remedies, and it’s c...

Female sterilization - Q:In vol 4 no 2, a Q & A brought me up short. In the answer to the problem of long term side effects from female sterilization, you state ". . ....

The British Institute for the Identification & Treatment of Allergic Disorders

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