Sterilization

​According to the laws of Finland, sterilization requires the consent of one or two doctors, or permission from the National Supervisory Authority for Welfare and Health Valvira. Women who generally request sterilization are aged 30 or over, and have had children (3 children); in these cases, consent from only one doctor is required. Sterilization is a permanent form of contraception and must therefore be thoroughly considered. Sterilization may be performed on both men and women. Sterilizations on women are performed at gynecology units. A referral from a physician is required for a sterilization. A doctor’s statement (ST1 statement) is also required. ST1 statements are available at your local health centre, occupational or student health care services, or from a private doctor.  

A sterilization may be performed using the Essure method, laparoscopy, or open surgery in connection with a cesarean section, for example.

Hysteroscopic sterilization

 

Hysteroscopic sterilization involves placing a small micro implant, Essure, into both fallopian tubes. This implant is made from a material that causes scar tissue formation, which will permanently block the fallopian tubes within three months of insertion. Sterilization with Essure can be performed as an outpatient procedure. It is a quick and non-invasive procedure – you will not require sick leave and you can go home unassisted since no general anesthesia is required.

 

Laparoscopic or open surgery sterilization

 

Laparoscopic sterilization involves blocking the fallopian tubes with clips inserted through the laparoscope. Laparoscopic sterilization is performed in an operating room as a day surgery procedure and under general anesthesia. Patients can usually go home the same night, and a three-day sick leave period will be required.

 
The majority of sterilizations today are performed by laparoscopy. If laparoscopic sterilization is not successful, the procedure can be performed as an open surgery while the patient is still under anesthesia. Open surgery is also used if sterilization is carried out immediately after childbirth. In an open surgery, the fallopian tubes are tied and cut.

 

At HUS, all hospitals with gynecology units perform sterilizations on women.