Motivation for sterilization and subsequent wish for reversal in 70 women

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Abstract
Between March 1, 1977, and March 1, 1980, 70 women requesting reversal of sterilization were given a semi-structured interview in which the following main topics were discussed: the motivation for the sterilization; the factors influencing the decision-making process at the time of sterilization, and the motivation for the request for reversal. The median age at the time of sterilization was 26 years, the median age at the time of the request for reversal was 32.5 years. In 34 cases (48.6%) marital discord had been the main motivation to request sterilization. In 33 cases (47.2%) sterilization had been primarily suggested or advised by a doctor; 48 of the 70 women (69%) requested reversal of sterilization because of a new relationship. From this study it seems that young age in combination with a bad marital relationship, could be a risk factor for later regret. In the authors' opinion the decision for sterilization should not be influenced by external factors and the procedure should preferably not be carried out in combination with obstetrical or gynaecological interventions. Doctors should refrain from taking the initiative in advising sterilization and be very critical about the so-called medical indications. Prevention of regret is not achieved by the application of stricter general criteria at the time of sterilization but lies in adequate counseling and good information about the positive and the potentially negative aspects of sterilization.

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