A patient using oral contraceptives tells the nurse that her family is complete, and she now desires permanent contraception. Which statement should the nurse include in teaching this patient about sterilization options?
1. "Essure becomes effective 3 months after insertion.".
2. "Vasectomy is effective immediately after the procedure.".
3. "Tubal ligation cannot be performed until the patient is age 35.".
4. "Oral contraception should be taken until menopause.".
1
Rationale 1: The insertion of Essure creates a tissue response that results in tubal occlusion in about 3 months.
Rationale 2: Vasectomy requires several ejaculations to clear the remaining sperm from the vas deferens before sterility occurs.
Rationale 3: Tubal ligation can be performed at any age.
Rationale 4: Oral contraceptives are effective, but the patient desires a permanent method.
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