{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:15:20Z","timestamp":1759565720140,"version":"3.40.4"},"reference-count":11,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2002,12,23]],"date-time":"2002-12-23T00:00:00Z","timestamp":1040601600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2002,12,23]],"date-time":"2002-12-23T00:00:00Z","timestamp":1040601600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gyn\u00e4kol Geburtshilfliche Rundsch"],"published-print":{"date-parts":[[2003]]},"abstract":"<jats:p>Die Sterilisation wird von etwa 30% der Frauen mit abgeschlossener Familienplanung als Verh\u00fctungsmethode gew\u00e4hlt. Die kontrazeptive Sicherheit der Sterilisation ist mit einem Pearl-Index von 0,18 mit der Sicherheit hormoneller ovulationshemmender Methoden und moderner Intrauterinpessare vergleichbar. Schwangerschaften, die trotz Sterilisation eintreten, liegen h\u00e4ufig extrauterin. Extrauteringravidit\u00e4t kommt vermehrt bei jungen Frauen vor. Es gibt derzeit keine Hinweise auf einen negativen Einfluss der Sterilisation auf das Menstruationsmuster, dennoch wird in einigen Studien f\u00fcr Frauen mit Status nach Sterilisation eine erh\u00f6hte Hysterektomierate gefunden. Das Risiko, an einem Karzinom von Uterus oder Mamma zu erkranken, ist f\u00fcr Frauen mit Status nach Sterilisation nicht erh\u00f6ht. Frauen mit Status nach Sterilisation erkranken seltener an einem Ovarialkarzinom. Das Risiko, den Entscheid f\u00fcr eine definitive Antikonzeption zu bedauern, ist bei jungen Frauen (Alter &lt;30 Jahre), die bereits Kinder geboren haben, deutlich h\u00f6her als bei Frauen mittleren Alters (&gt;30 Jahre). Die Antikonzeption mittels Sterilisation eignet sich daher vor allem f\u00fcr Frauen ab Mitte Dreissig mit abgeschlossener Familienplanung, insbesondere wenn Kontraindikationen f\u00fcr reversible Verh\u00fctungsmethoden bestehen. Generell sollte auch die M\u00f6glichkeit einer Vasektomie diskutiert werden.<\/jats:p>","DOI":"10.1159\/000067166","type":"journal-article","created":{"date-parts":[[2003,4,15]],"date-time":"2003-04-15T21:05:40Z","timestamp":1050440740000},"page":"25-30","source":"Crossref","is-referenced-by-count":3,"title":["Ist die Tubensterilisation noch eine zeitgem\u00e4sse Verh\u00fctungsmethode?"],"prefix":"10.1159","volume":"43","author":[{"given":"Ruth","family":"von Mering","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele S.","family":"Merki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul J.","family":"Keller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2002,12,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)01082-6"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199703133361104"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00316-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200012073432303"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00648-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(98)00060-2"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200012073432310"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(00)00481-7"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04642-0"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(00)00111-6"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19970611)71:6<948::AID-IJC6>3.0.CO;2-Y"}],"container-title":["Gyn\u00e4kologisch-geburtshilfliche Rundschau"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/67166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/67166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:22:49Z","timestamp":1745464969000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000067166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,12,23]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2003,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000067166","archive":["Portico"],"relation":{},"ISSN":["1018-8843","1423-0011"],"issn-type":[{"type":"print","value":"1018-8843"},{"type":"electronic","value":"1423-0011"}],"subject":[],"published":{"date-parts":[[2002,12,23]]}}}