Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
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<strong>St<strong>and</strong>ards</strong> <strong>for</strong> female <strong>and</strong> male <strong>Sterilization</strong> services 19d)It does not affect the client’s strength or his ability to per<strong>for</strong>m normalday-to-day functions.e) After vasectomy, it is necessary to use a back-up contraceptive methoduntil azoospermia is achieved (usually this takes three months).f) <strong>Sterilization</strong> does not protect against RTIs, STIs, <strong>and</strong> HIV/AIDS.g) A reversal of this surgery is possible but the reversal involves majorsurgery <strong>and</strong> its success cannot be guaranteed.2.4.1.6. Clients must be encouraged to ask questions to clarify their doubts, if any.2.4.1.7. Clients must be told that they have the option of deciding against theprocedure at any time without being denied their rights to other reproductivehealth services.2.4.2. Clinical Assessment <strong>and</strong> Screening of Clientsa) Demographic in<strong>for</strong>mation: The following in<strong>for</strong>mation is required: age, maritalstatus, occupation, religion, educational status, number of living children, <strong>and</strong> ageof youngest child.b) Medical history:i) History of illness to screen out the diseases mentioned under the medicaleligibility criteria <strong>and</strong> also to screen out severe anaemia, acute febrileillness, jaundice, chronic systemic disease, bronchial asthma, heart disease,uncontrolled diabetes, hypertension, thyrotoxicosis, severe nutritionaldeficiencies, <strong>and</strong> sexual impairments or sexual problems;ii) Immunization status of men <strong>for</strong> tetanus;iii) Current medications, if any;iv) Current use of contraception by the couple;v) Last menstrual period (LMP) of the wife.c) Physical examination: Pulse <strong>and</strong> blood pressure, temperature, general condition<strong>and</strong> nutritional status, <strong>and</strong> examination of penis, testicles, <strong>and</strong> scrotum. Furtherexaminations as indicated by the client’s medical history.d) Laboratory examinations: Urine analysis <strong>for</strong> sugar <strong>and</strong> other laboratoryexaminations as indicated.There are no absolute contraindications <strong>for</strong> per<strong>for</strong>ming male sterilization. There are certainconditions that require caution, delay or referral to a specially equipped centre. The Medical
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