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Re GF<br />

Medical<br />

Treatment<br />

[1992] 1 FLR<br />

293, 7 BMLR<br />

135<br />

England<br />

Re E (A<br />

Minor)<br />

(Medical<br />

Treatment)<br />

[1991] 2 FLR<br />

585, [1992]<br />

Fam Law 15, 7<br />

BMLR 117<br />

England<br />

Mother Excessively heavy<br />

periods which she was<br />

unable to deal with.<br />

Incidental effect of<br />

sterilisation, object<br />

though essentially<br />

therapeutic.<br />

Official<br />

solicitor on<br />

behalf of<br />

parents.<br />

29<br />

E suffered from a<br />

menstrual condition for<br />

which the only<br />

effective treatment was<br />

a hysterectomy.<br />

Required for<br />

therapeutic reasons not<br />

with aim of<br />

sterilisation.<br />

17<br />

Allowed<br />

hysterectomy for<br />

therapeutic<br />

reasons.<br />

Hysterectomy<br />

allowed for<br />

therapeutic<br />

reasons.<br />

Heavy periods<br />

Unable to take care of menstrual<br />

hygiene and sanitary care<br />

Dreads having periods and<br />

embarrassed and humiliated by<br />

experience<br />

No practicable less intrusive means<br />

Necessary for therapeutic purposes.<br />

Application for heavy periods, not<br />

for sterilisation.<br />

Appendix C: Table of sterilisation and hysterectomy cases not analysed.<br />

Laid out 3 caveats for<br />

performing such an operation<br />

without seeking courts<br />

guidance.<br />

Ruled that the consent of the<br />

court not required as deemed<br />

to be therapeutic.<br />

Cases not analysed Best interests? Reason not analysed<br />

Re H (EM)[1995]130 Sask R 281<br />

Canada<br />

Secretary, Department Of Health and Community Services v JMB and SMB<br />

[1992] 15 Fam LR 392<br />

Appeal in high court following decision; Re Marion [1992] 14 Fam LR 427<br />

Australia<br />

Yes<br />

Menstruation resulted in seriously<br />

disturbed behaviours, ‘girl would<br />

never understand the process’.<br />

No<br />

No precedent.<br />

Re F [1990]<br />

UNREPORTED Publication of judgement restricted. Unknown why.<br />

Allowed endometrial ablation on the grounds that it was therapeutic. Declined<br />

sterilisation on the grounds that it has no therapeutic purpose.<br />

All cases establishing lawfulness of parents consenting on behalf of Marion and<br />

whether court can consent on her behalf – see above for whether hysterectomy in<br />

best interests.<br />

236

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