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Sterilisation versus LARC efficacy — DFSRH MCQ

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ModerateSterilisationSterilisation versus LARC efficacyDFSRH

A 37-year-old woman requests sterilisation because she believes it is more effective than every reversible method. She dislikes procedures but wants high efficacy. What would you advise this patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Explain that LARC methods have comparable or better typical-use effectiveness

LARC methods such as IUDs and implants have very high typical-use effectiveness and may rival or exceed sterilisation. Sterilisation remains an option but should be chosen with accurate comparison. Misconceptions should be corrected without pressure.

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