Reversal of sterilisation - No longer done on NHS. Do not refer.
Contraception - All referrals for insertion and removals of IUCD’s and Mirena IUS for contraceptive purposes, and other contraceptive advice. These should all be referred to Family Planning & Sexual Health Department or to a GP colleague.
Sterilisation request - Long Acting Reversible Contraceptive (LARC) should be offered first to all women requesting sterilisation. If BMI is over 30, advise weight loss first, and other effective contraceptive if acceptable to patient. It is rarely justifiable to carry out laparoscopic sterilisation if BMI is over 30. All patients will be assessed at Highland Sexual Health first and then directly listed unless surgical issues in which case will be seen at gynaecology outpatient department (GOPD).