Autonomy, age and sterilisation requests

McQueen, Paddy

doi:10.1136/medethics-2016-103664

Cited by 15 publications

(13 citation statements)

References 21 publications

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“…These patients also noted a preconception by the doctor or had the feeling of prejudgment. This and other authors like Moore [25] confirm [10,26] these perceptions from a clinical side. Unfortunately, these professional perceptions seem to be based on the association of young age as a risk factor for regretting the decision for TL [6,27] .…”

Section: Fsfisupporting

confidence: 81%

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FSFI score and timing of tubal ligation in patients: preliminary results of an online survey

Walter

Upadhjay

Beslic

et al. 2022

Arch Gynecol Obstet

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Introduction Tubal ligation is the most common contraceptive method worldwide. Apart from a very low pearl index and anxiety relief, other benefits are not commonly recognised. In young patients, there is the post-operative risk of regretting the decision with the need for In-Vitro-Fertilisation or refertilising surgery. Positive side effects have not been widely published. In our study we investigated the change in the female sexual function index score after tubal ligation. Material and method In this survey the FSFI score of participants around the time of the tubal ligation was compared with the FSFI score of intermediate and long-term time distance to the ligation. Results The data indicate an increase in younger women seeking information on permanent contraception and whilst the FSFI score of the early group indicates a risk of female sexual dysfunction, the intermediate and long-term FSFI scores are comparable to published control groups. Discussion Besides the obvious benefit of a low pearl index, tubal ligation may contribute to reduce the risk of female sexual dysfunction in the mid and long term. Informed consent is essential for the surgeon and patient to weigh up the risks and benefits individually including possible future perspectives on family planning.

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Section: Fsfisupporting

confidence: 81%

“…Patients under 30 years seem to be the major risk factor. For advice-seeking women, this results in the situation that they have the right for a TL by law, but it is nearly impossible to find a surgeon due to the possible longterm legal consequences [10,11] .…”

Section: Introductionmentioning

confidence: 99%

FSFI score and timing of tubal ligation in patients: preliminary results of an online survey

Walter

Upadhjay

Beslic

et al. 2022

Arch Gynecol Obstet

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“…Also, it can be reasonably argued that the truly autonomous 29 person ought to be permitted to make a decision that they might later regret, provided of course that the consent is valid. 99 There is no reason to think that priority should be given to a person’s possible future wishes over and above their present wishes.…”

Section: Discussionmentioning

confidence: 99%

<p>Mandatory Waiting Periods Before Abortion and Sterilization: Theory and Practice</p>

Rowlands

Thomas

2020

IJWH

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Some laws insist on a fixed, compulsory waiting period between the time of obtaining consent and when abortions or sterilizations are carried out. Waiting periods are designed to allow for reflection on the decision and to minimize regret. In fact, the cognitive processing needed for these important decisions takes place relatively rapidly. Clinicians are used to handling cases individually and tailoring care appropriately, including giving more time for decision-making. Psychological considerations in relation to the role of emotion in decision-making, eg, regret, raise the possibility that waiting periods could have a detrimental impact on the emotional wellbeing of those concerned which might interfere with decision-making. Having an extended period of time to consider how much regret one might feel as a consequence of the decision one is faced with may make a person revisit a stable decision. In abortion care, waiting periods often result in an extra appointment being needed, delays in securing a procedure and personal distress for the applicant. Some women end up being beyond the gestational limit for abortion. Those requesting sterilization in a situation of active conflict in their relationship will do well to postpone a decision on sterilization. Otherwise, applicants for sterilization should not be forced to wait. Forced waiting undermines people's agency and autonomous decision-making ability. Low-income groups are particularly disadvantaged. It may be discriminatory when applied to marginalized groups. Concern about the validity of consent is best addressed by protective clinical guidelines rather than through rigid legislation. Waiting periods breach reproductive rights. Policymakers and politicians in countries that have waiting periods in sexual and reproductive health regulation should review relevant laws and policies and bring them into line with scientific and ethical evidence and international human rights law.

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“…Although there are no age restrictions imposed for live donors, there may be concerns surrounding young women who have not yet had children who wish to donate their uterus. McQueen has noted how sterilisation requests made by young, child‐free adults are frequently denied by doctors, despite being legally available to individuals over the age of 18 26 . Successful UTx trials to date have been with uteri that have proven the ability to sustain gestation, hence it may well be that donors must display parity before donation.…”

Section: Regulation Of Uterus Transplantation: Square Pegs Into Round...mentioning

confidence: 99%

Uterine transplantation: legal and regulatory implications in England

Vali

Jones

Saso

et al. 2021

BJOG

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Uterus transplantation (UTx) is fast evolving from an experimental to a clinical procedure, combining solid organ transplantation with assisted reproductive technology. The commencement of the first human uterus transplant trial in the United Kingdom leads us to examine and reflect upon the legal and regulatory aspects closely intertwined with UTx from the process of donation to potential implications for fertility treatment and the birth of the resultant child. As the world's first ephemeral transplant, the possibility of organ restitution requires consideration and is discussed herein. Tweetable abstract Uterine transplantation warrants a closer look at the legal frameworks on fertility treatment and transplantation in England.

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Autonomy, age and sterilisation requests

Cited by 15 publications

References 21 publications

FSFI score and timing of tubal ligation in patients: preliminary results of an online survey

FSFI score and timing of tubal ligation in patients: preliminary results of an online survey

<p>Mandatory Waiting Periods Before Abortion and Sterilization: Theory and Practice</p>

Uterine transplantation: legal and regulatory implications in England

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