How it's used Special classes needed to learn the method Natural Family Planning users do not have intercourse during fertile time if pregnancy is not desired. How it works Sexual pleasure is not decreased. Women have tubal ligation, an operation which separates and blocks the tubes between the ovaries and uterus so that sperm cannot reach eggs. A small percentage of sterilized people later change their mind and regret not being able to have children. You check IUD string monthly to make sure it's in place.
Some women have more bleeding or cramping with periods.
Medical risks sometimes include infection or puncture of uterus. Problems if user becomes pregnant. How it's used Sexual intercourse is avoided. Some people choose to express their sexual feelings in other ways, and at times choose not to have any sexual contact. Concerns Pregnancy and passage of STDs still may occur if couple's genitals touch.