For many couples with a disability, as for able-bodied couples, the question of the timing of a sterilization is paramount. Often, if the doctor can help them to find a method for the next year or two, the situation can then be reviewed. Not only will the couple then be older, but other practical and emotional changes may have taken place which can profoundly effect their decision.

The care of individuals with mental disability has changed a great deal in recent years, and there is now a greater understanding of their needs and less fear of their condition (Greengross, 1976). However, instances are still seen where control of fertility was considered a priority which tended to over-ride other emotional needs of the patient.

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