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Male sterilisation and anticoagulation — DFSRH MCQ

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HardSterilisationMale sterilisation and anticoagulationDFSRH

A 58-year-old man on warfarin for a mechanical valve requests vasectomy. INR has been unstable and he has no urgent contraceptive need. What is the most appropriate management?

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Correct answer: A — Refer for specialist peri-procedural planning

Anticoagulation increases procedural bleeding risk and needs specialist peri-procedural planning. Stopping warfarin without advice is unsafe in a mechanical valve patient. Vasectomy may still be possible with appropriate planning.

Reference: FSRH Male and Female Sterilisation Guideline; NICE Contraception guidance