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Sterilisation consent — DRCOG MCQ

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HardContraception and Sexual HealthSterilisation consentDRCOG

A 39-year-old woman requests sterilisation. She has three children and says she is certain. Her partner is present and answers most questions for her. She looks anxious when asked directly. What is the most appropriate management?

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

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Correct answer: B — Speak with her alone and explore voluntariness before proceeding

Sterilisation requires valid consent from the patient herself, free from coercion, with counselling about permanence and alternatives. The partner's views do not substitute for her consent. Age alone is not a reason to decline, but the interaction raises safeguarding and voluntariness concerns. The pearl is that private discussion is essential when coercion may be present.

Reference: FSRH Male and Female Sterilisation guideline; GMC consent guidance