Female Sterilisation


There are no absolute contraindications to sterilisation for men or women providing they make the request themselves, are of sound mind and are not acting under external duress.

Information to include when referring to General Gynae Clinic

  • Indication of parity (and delivery type)
  • Current contraception (& why not suitable)
  • Cycle (NB consider what periods will be like when stop current method – if heavy, reconsider Mirena)
  • Alternatives discussed (if not, why not)
    • Mirena / Cu IUD
    • Nexplanon
    • COCP etc
  • Pt aware vasectomy may be an option (quicker and safer with less morbidity)
  • Has written patient information of all options       
  • Patient is aware procedure:
    • Involves keyhole surgery to the abdomen and GA as a day case
    • Is permanent
    • Is not reversible on NHS (see Individual Funding Request Policy here)
  • Significant past medical / surgical history if not on proforma
  • Current regular medication if not on proforma
  • Smear history (including last smear & result) the patient will still be seen without this but if you can retrieve it automatically it speeds up the appointment



References: FRSH Clinical Guideline: Male and Female Sterilisation (September 2014)


Relevant Links: Sterilisation for Men and Woman Leaflet 

Author: Dr S Burns GP

Contributors: Lisa Verity, Consultant Gynaecologist RCHT

Version: 1.2

Date: December 2020    Review Date: December 2021