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Woman denied permanent birth control on NHS wins case with ombudsman

Leah Spasova from Oxfordshire fought for 10 years to obtain tubal ligation procedure, while men could get vasectomies

A woman denied a permanent form of birth control on the NHS over fears she might regret it, while men were allowed contraceptive procedures, has won her case with the health ombudsman.

Leah Spasova, a psychologist from Oxfordshire, spent a decade fighting to obtain female sterilisation at her local trust, a procedure that blocks or seals the fallopian tubes to prevent pregnancy. By contrast, men can undergo a vasectomy, a procedure that stops sperm from being released.

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May 1, 2026 Contraception and family planning NHS Women's health

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