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Sterilisation counselling — DRCOG MCQ

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HardContraceptionSterilisation counsellingDRCOG

A 29-year-old woman requests sterilisation. She has two children and is certain she wants no more pregnancies. She has a history of depression but currently has capacity and no acute illness. What would you advise?

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Correct answer: C — Discuss permanence, failure risk, alternatives and possibility of regret

Sterilisation counselling should cover permanence, failure risk, procedural risks, alternatives including LARC, and regret, while respecting capacity and autonomy. Age alone is not a reason to refuse, although regret risk should be discussed. A partner's consent is not required for a capacitous adult. Sterilisation failure is uncommon but possible.

Reference: FSRH Female Sterilisation; GMC consent guidance