I would be pretty sure the same thing happens in Australia: doctors being very, very reluctant to do tubal ligation at the request of young-ish women who simply say they never want to have children.
The article notes that there are figures on the number of women who actually go on to regret having this done:
According to analyses of the CREST data, there is a cumulative 12.7 percent probability that any woman would express regret within 14 years of sterilization. But for women under the age of 30 at the time of the procedure, there is a 20.3 percent cumulative probability that they would eventually want to take it all back (compared to only 5.9 percent in the older cohort). Of course, there are other factors that may predict regret, including partner/doctor pressure and disagreement among partners about the procedure. However, the CREST research shows that sterilization at a young age is the strongest predictor of regret. (Incidentally, this trend holds true with young men getting vasectomies.)I was also surprised at the failure rate for the operation:
According to the Collaborative Review of Sterilization (CREST) study, the 10-year probability of pregnancy following a ligation is 18.5 per 1,000 procedures, about seven of which could be ectopic, depending on surgical method and age.I guess I just assumed it could be done in such a way as to virtually assure success. (I know vasectomies can also fail - let me check the rate - around 1 in a 1000 according to this site. I guess that makes sense.)
Anyway, I fully understand doctors' reluctance to use tubal ligation on young women.
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