I will do this kind of love and reassurance that you will need from time to time. Find good friends and develop that support network. Its so important and it will help you sit back and enjoy those crazy moments when your AS parent gives you a pottery chicken just before you get your teeth fixed. What point have I been getting at with all this? Most doctors that do sterilization don’t want a younger patient to regret getting the procedure later. That being said, as the study’s above show, age should not be the only factor in whether you agree to perform a sterilization. I have performed sterilizations on women in their 20s and beyond with children and women in their 20s and 30s without children. I think it is very important to allow women to make their own contraceptive decisions, and I am proud to work in an era when women get to make these choices without paternalistic doctors telling them what is allowed. What I think is important, is a detailed and honest discussion with the patient about why the want the sterilization.
I make sure that she is sure that she doesn’t want any more children, that she isn’t being pressured by a significant other or family member, that she isn’t suffering from any depressive symptoms and that she fully understands other options. I also clarify that although sterilization can be reversed, it is often very costly and is by no means guaranteed effective. I require that any patient, regardless of age, on whom I perform a sterilization is sure that she wants to proceed and does not plan on ever having it reversed. If I performed a sterilization for a patient that was unsure or planned on having it reversed, I would be doing her a disservice. An IUD would be much more appropriate for that patient. I also tend to recommend that patients think about their options for a couple of weeks after our office visit about the procedure. This usually works well, because there is usually a 2 week wait for an open slot in the OR. I always let patients know that if they change their mind at any point, they can cancel and I will not be upset at all, even if it is morning of.