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Female sterilisation – Information for GPs

Commissioning position

  • This is still commissioned by SRCCG
  • Regard as permanent cessation of fertility
  • Patient must have capacity to consent to procedure without acting under duress
  • Must have BMI <35
  • Always offer a LARC method as an alternative to sterilisation before referral

Information to include in referral letter

  • Parity and method of delivery
  • Methods of contraception used and why they were not continued
  • Discuss alternative methods – LARC, vasectomy
  • Cycle, NB patient must consider that periods may be heavier when hormonal contraception stopped
  • Smear history
  • Relevant past medical / surgical history
  • Current regular medication
  • BMI – must be less than 35 to be referred
  • Smoking status

Patient information

Make sure patient is aware that female sterilisation involves surgery (laparoscopy), is permanent and in all cases is not reversible on the NHS.

Patient information leaflet
RCOG Jan 2004 – Sterilisation for women & men – what you need to know

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