Sterilization for Adolescents with Autism: Key Considerations

The issue of sterilization in minor females?

Hello Doctor: I have an 11-year-old daughter with moderate autism who is currently in the 3rd grade (she repeated a year due to her autism).
To avoid the situation where my wife and I are too old to care for our daughter’s future children, and to prevent the possibility of having a grandchild with autism, we have been considering this for five years.
We initially thought that her autism would improve with age.
She has undergone early intervention from age 3 to 11, but the gap in understanding, cognition, and learning compared to her peers has only widened.
As she approaches 12 or 13, we are noticing early signs of breast development, and we have reluctantly decided to proceed with sterilization for our daughter.
Here are my questions (I plan to have the sterilization done this summer for my 11-year-old daughter): 1.
As a male, I do not understand the potential impacts of sterilization on her future physiology (height, weight, menstruation, breast development stalling, etc.).
Would it be better to wait until she is older (18 years old) to perform the sterilization surgery for her future well-being? 2.
Is there a risk of developing depression after the sterilization procedure? 3.
Will the sterilization surgery affect her physiological functions, health, and future sexual life?

Lin Xuan Zhi, 40~49 year old female. Ask Date: 2012/02/06

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the government currently provides subsidies for sterilization surgeries performed on individuals with intellectual disabilities or mental illnesses.
Generally, laparoscopic surgery is more convenient and allows for quicker recovery, taking about 20 minutes without the need for hospitalization.
Sterilization does not adversely affect the physiological or psychological development of the patients, nor does it impact their future sexual life.
It serves as a method of contraception and can be performed after the onset of menstruation.
However, it is important to consider this decision carefully, as it may complicate future desires for childbearing.
If you need further consultation, please visit the outpatient clinic.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2012/02/06

More Info

When considering sterilization for adolescents with autism, particularly in the case of your 11-year-old daughter, there are several important factors to take into account. Sterilization, especially at such a young age, is a complex and sensitive issue that requires careful consideration of both medical and ethical implications.

1. Impact on Physical Development
Sterilization procedures, such as tubal ligation or hormonal treatments, can have varying effects on a young girl's physical development. While there is limited research specifically addressing the long-term effects of sterilization on growth and development in children with autism, it is generally understood that significant hormonal changes occur during puberty, which can influence height, weight, and breast development.
At 11 years old, your daughter is likely approaching the onset of menstruation, which is a critical time for her physical and emotional development. It is advisable to wait until she is older, ideally until she has completed her growth spurts and reached a more stable stage of development, typically around 18 years of age. This allows her body to undergo the natural changes associated with puberty without the potential complications that may arise from an early sterilization procedure.

2. Mental Health Considerations
The psychological impact of sterilization on adolescents, particularly those with autism, is another crucial aspect to consider. There is a possibility that undergoing such a procedure could lead to feelings of loss or depression, especially if the individual does not fully understand the implications of the surgery. Adolescents with autism may have varying levels of understanding and coping mechanisms, and it is essential to ensure that your daughter is adequately informed and supported throughout the process.

Before making any decisions, it would be beneficial to consult with a mental health professional who specializes in working with children on the autism spectrum. They can provide insights into how your daughter might emotionally respond to the procedure and help develop a supportive plan to address any potential mental health issues that may arise.

3. Effects on Biological Functions and Future Relationships
Sterilization can have significant implications for an individual's reproductive health and future relationships. While sterilization is intended to prevent pregnancy, it is crucial to consider how it may affect your daughter's understanding of her body and her ability to engage in future intimate relationships.
It is important to discuss with healthcare providers the potential long-term effects on her reproductive system and overall health. Some studies suggest that sterilization can lead to changes in hormonal balance, which may affect mood, libido, and overall well-being. Engaging in open discussions about sexual health and relationships, tailored to her level of understanding, is vital in preparing her for the future.

Conclusion
In summary, the decision to pursue sterilization for your daughter should be approached with caution and thorough consideration of her physical, emotional, and psychological well-being. Consulting with a multidisciplinary team, including pediatricians, mental health professionals, and specialists in autism, can provide you with comprehensive guidance tailored to your daughter's unique needs.
It is essential to prioritize her overall development and well-being, ensuring that any decisions made are in her best interest and that she is supported throughout the process. Open communication with her about her body and health, as well as involving her in discussions about her future, can empower her and help her navigate the complexities of growing up with autism.

Similar Q&A

Reducing the Risk of Autism in Future Children: What You Need to Know

If my girlfriend has two younger brothers, one with autism and the other with Asperger's syndrome, if we were to get married and have children in the future, would there be a significantly high chance of having a child with autism? How can we avoid having a child with autism...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the etiology of autism (Autism Spectrum Disorder) is currently uncertain. Researchers tend to believe that there is a genetic predisposition leading to central nervous system abnormalities. Possible factors include: 1. Genetic Factors: In about 20% of autism patients, th...

Understanding Pica in Autistic Children: Causes and Solutions

Dear Dr. Chen, My child is fourteen years old and has multiple disabilities with severe autism. Over the past two years, he has been eating threads, labels, and cotton from his clothing. He has had ongoing sleep issues and has been seeing a psychiatrist for this. I have consulte...

Dr. Chen Zhicai reply Psychiatry
The situation you described is known as "pica." It is difficult to say that it is solely caused by a deficiency of a certain trace element, as children with autism often exhibit many stereotypical behaviors and self-stimulatory behaviors. It may be more beneficial to ob...

Managing Chalazion in Autistic Children: Concerns and Treatment Options

Hello, Dr. Gao. In 2016, I consulted about my child's chalazion issue at an e-hospital in Taiwan. Since my child has autism, we initially opted for conservative treatment with warm compresses and medication. During this period, things went smoothly. However, in October 2018,...

Dr. Gao Pilin reply Ophthalmology
Hello, Ms. Kai: A chalazion typically does not appear red; it usually presents as a lump that can vary in size. Surgery is not always necessary; sometimes, applying medication along with local warm compresses can alleviate the symptoms. If there is recurrent inflammation and redn...

Effective Treatments for Childhood Developmental Disorders in Taiwan

Hello, the child was born in 2011 and at the age of 2, after receiving the Haemophilus influenzae type B vaccine, developed a high fever that led to pneumonia. Since then, the child has not spoken and exhibits behaviors and cognitive abilities below those of peers. A hospital in ...

Dr. Su Hongci reply Rehabilitation
Hello: Children suspected of developmental delays should undergo a comprehensive evaluation before the age of 6, which includes assessments by pediatricians, mental health professionals, rehabilitation specialists, and otolaryngologists. If diagnosed with a delay, early intervent...