Permanent Contraception (Sterilization) By Frances E Casey, MD, MPH, Virginia Commonwealth University Medical Center Reviewed / Revised Feb 2022 | Modified Sep 2022 View Patient Education Male Permanent Contraception (Vasectomy) Female Permanent Contraception Key Points In the US, one third of couples attempting to prevent pregnancy, particularly if the woman is > 30, choose permanent contraception with vasectomy or tubal ligation.