Both hysteroscopic and laparoscopic sterilisation were associated with higher pregnancy rates (2.4% and 2.0%) than have been reported elsewhere for the levonorgestrel IUD and subdermal implant. Moreover, both surgical sterilisation techniques were associated with relatively high rates of menstrual dysfunction, pelvic pain, and subsequent hysterectomy. Given these findings along with the high cost of surgical sterilisation, IUDs may represent a better approach to long-term contraception for many women.
What are your opinions on this? Which is better-laparoscopic or hysteroscopic sterilisation?
