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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48<strong>St<strong>and</strong>ards</strong> <strong>for</strong> female <strong>and</strong> male <strong>Sterilization</strong> servicesCondition Category Clarification/EvidencePersonal characteristics <strong>and</strong> reproductive historyPelvic inflammatorydisease (pid)*a) Past PID(assuming nocurrent risk factors<strong>for</strong> STIs)i) with subsequentpregnancyii) withoutsubsequentpregnancyb) PID – currentSTIs*a) Current purulentcervicitis orchlamydial infectionor gonorrhoeab) Other STIs(excluding HIV <strong>and</strong>hepatitis)c) Vaginitis (includingtrichomonasvaginalis <strong>and</strong>bacterial vaginosis)d) Increased risk ofSTIsACDDAAAClarification: A careful pelvic examination must be per<strong>for</strong>med to ruleout recurrent or persistent infection <strong>and</strong> to determine the mobility ofthe uterus.Clarification: If no symptoms persist following treatment, sterilizationmay be per<strong>for</strong>med.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