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Re: GYN: Sterilization at a young ageFrom: ainsron@msn.comSat Apr 15 20:12:36 2000
>My counseling for tubal is extensive and has in the past been the cause of >many a patient to change her mind. My contention is that age and parity is >irrelevant for the well counseled and willing patient.. > I agree. In residency, some of our staff used the rule of 75, age X parity had to be equal to or greater than 75 for them to consent to a tubal ligation. At that time we also had to have both of the partners attend a mandatory meeting where the risks, benefits, alternatives were discussed in a group setting. They then had to come in for couple counselling and both husband and wife had to sign the consent, whether it was tubal or vasectomy. I'm glad those times have changed. Like others have said, what I emphasize most is the regret factor, "even though you can't replace a child or spouse, would it alter your decision to have another child if your family were wiped out in an accident, if you remarried to someone who hasn't had children, ....." Obviously, it doesn't stop most couples from going ahead with the tubal, but at least they can't back later and ask why I didn't discourage them. I agree that autonomy and personal choice are critical.
-- Ronald E. Ainsworth, MD
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