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In this article, I argue that this requirement is not justified by appeal to any of (or any combination of) promotion of informed consent, paternalistic concerns regarding patient regret in later life and health service budgetary considerations. Informed consent and patient autonomy may be promoted by a mandatory waiting period, but the concomitant imposition of an IUD trial during this period cannot be justified on these grounds. As long as elective vasectomy is offered by the healthcare system, elective female sterilisation should be accessible under reasonably similar\u2014even if not identical\u2014conditions.<\/jats:p>","DOI":"10.1136\/jme-2023-109264","type":"journal-article","created":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T13:26:02Z","timestamp":1702473962000},"page":"708-711","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Why-UD? Assessing the requirement to trial an intrauterine device as a condition for elective sterilisation in female patients"],"prefix":"10.1136","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9930-209X","authenticated-orcid":false,"given":"Teresa","family":"Baron","sequence":"first","affiliation":[{"name":"Philosophy, University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,12,13]]},"reference":[{"key":"2025092414182050000_50.10.708.1","unstructured":"BPAS fertility . BPAS investigation into the IVF Postcode lottery: an examination of CCG policy for the provision of fertility services. 2020. 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