Standards for Female and Male Sterilization Services - STATE ...

48Standards for female and male Sterilization servicesCondition Category Clarification/EvidencePersonal characteristics and reproductive historyPelvic inflammatorydisease (pid)*a) Past PID(assuming nocurrent risk factorsfor STIs)i) with subsequentpregnancyii) withoutsubsequentpregnancyb) PID – currentSTIs*a) Current purulentcervicitis orchlamydial infectionor gonorrhoeab) Other STIs(excluding HIV andhepatitis)c) Vaginitis (includingtrichomonasvaginalis andbacterial vaginosis)d) Increased risk ofSTIsACDDAAAClarification: A careful pelvic examination must be performed to ruleout recurrent or persistent infection and to determine the mobility ofthe uterus.Clarification: If no symptoms persist following treatment, sterilizationmay be performed.Hiv/aidsHigh risk of hiv A Clarification: No routine screening is needed. Appropriate infectionpreventionprocedures, including universal precautions, must beHiv-infected Aobserved carefully with all surgical procedures. The use of condoms isrecommended following sterilization.AIDS S Clarification: The presence of an AIDS-related illness may require thatthe procedure be delayed.Other infectionsTuberculosisa) Non-pelvicb) Known pelvicMalariaASA