A case note audit was carried out to follow up women with intellectual disabilities referred for contraceptive sterilization 20 years ago. None of the women had been sexually active or become pregnant. Two had hysterectomies for medical indications at a younger age. Women with intellectual disability may use reversible and less invasive methods of contraception before considering contraceptive sterilization. Although the assessments predated the Mental Capacity Act 2005, they were largely compliant with it.
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