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In the US, women have two options for steriliation. Tubal ligation cuts or clips the fallopian tubes so the egg and sperm can't meet. Hysteroscopic sterilization (Essure) inserts a tiny coil into the tubes; as scar tissue grows around it, the tubes are blocked.

Men have the option of vasectomy, in which a tiny portion of each vas deferens is removed so that sperm can't enter the semen.

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