Female sterilisation is considered a permanent form of contraception. The operation involves cutting, sealing or blocking the fallopian tubes. This prevents the eggs from reaching the uterus (womb) where they could become fertilised, resulting in pregnancy.
Proposed revisions to the eligibility criteria
MKCCG makes the following recommendation regarding Female Sterilisation is categorised as Not Routinely Funded. Female Sterilisation should only be considered under clinically exceptional circumstances via an Individual Funding Request.
A referral should only take place after full counselling on all alternative contraceptive methods and particularly on the long acting reversible methods.
Female sterilisation should only be conducted after full counselling on all alternative contraceptive methods and particularly on the long acting reversible methods. Male sterilisation (vasectomy) should be carried out in preference to female sterilisation for couples seeking sterilisation as a method of contraception. Clinicians should ensure sterilisation is discussed with both partners whenever possible. The benefits of vasectomy should be discussed with all women seeking female sterilisation.
Female sterilisation will only be considered where the male partner is unwilling or unable to consent to vasectomy, or the female does not have a single permanent partner, or when female sterilisation is done, after appropriate counselling, at the same time as a caesarean delivery. Patients are informed, and written consent is sought before the sterilisation operation is carried out, that the sterilisation procedure is irreversible and the reversal of sterilisation operation would not be routinely funded on the NHS.
Referrals for sterilisation will generally be accepted if points 1,2,3,4,5 plus either of 6 & 7 are met:
The woman must be certain her family is complete or that she never wants children.
The woman must be aware that the procedure is considered permanent and that reversal is NOT routinely funded on the NHS.
The woman must receive counselling about her options including consideration of all other forms of long-acting contraceptives and her other contraceptive options.
If the woman has a partner has he considered a vasectomy
The woman must be deemed to have sound mental capacity
The woman has a medical condition making pregnancy dangerous.
The woman declines a trial of long-acting reversible contraception after counselling.