But more to the point it’s a hormonal method, and many women simply do not get on well with hormonal contraception. I’m lucky in that I don’t have any of the more serious side effects, but I’m still very unhappy about the idea of spending the rest of my LIFE on fake hormones with possible long-term side effects that are poorly understood.

Of course there are other non-hormonal options, but they have higher failure rates than sterilisation does.

*and it’s usually especially sad because having had tubal ligation and so thinking they are sterile, women in this position often don’t realise they are pregnant till later than usual and need a late abortion which some places make it difficult for them to get.

It seems really weird to me that they get sterilised at all, as, the way I’ve been taugh,t you should never perform sterilisation upon women unless she really, really wants it or has another indication for say hysterectomy. Seriously, the mirena coil has much lower rates of pregnancy than tubal ligation (somewhere between 1 in 500 and 1 in 1000 compared to 1 in 200) and is way safer as it doesn’t involve attendant the risks of a general anaesthetic or abdominal surgery. And it is immediately reversible (I know most women don’t change their mind, but some do and it is nice for those women still to have options). I think women are really underinformed about the LARCs in general, they really need to market them more.

At least, I assume that’s what his cryptic one liner was. Also, i’m not from the US so i don’t know the details (or if i’ve even got the right organistion), but i do recall a pro sterilization white woman, unfortunately i forget her name but some else will probably remember.