Womens Health

Will the doctor do a tubal ligation even if I have no children?

I am a twenty-year-old manic-depressive. My fiance and I will be marrying within the next two years and neither of us wants children. My reasons are partially because of the manic-depression, but mainly just a personal preference.

My question is: Would a doctor have a moral/ethical issue with tying the tubes of a young, married woman with no children? I cannot take birth-control pills because they cause me to go into severe depressions and I would be terrified to try an injectable form of birth control because it is still hormonal, like the pill.

It seems that the only option I have to make love spontaneously (i.e. without condoms) is by having my tubes tied. (Diaphragms are out of the question-I would rather use a condom.)

There are always some doctors who might have a moral objection to tying tubes so young, but for the most part, doctors will perform the procedure as long as they are convinced that this is a well thought out decision and that you are unlikely to change your mind about it and "regret" having it done.

Most "regret" rates at having tubal ligation are in the 2-3% range for all women (circumstances change later in life, e.g. a new medicine comes along that totally keeps manic-depression under control with no worsening from hormones).

Women who have a higher "regret" rate approaching 5-10% are those less than 25 years of age and those women having marital/partner discord.

While you are under 25 years of age and might have a slightly higher regret rate, talk to your gynecologist about all the reasons you have to want this.

It may take more than one visit, but most doctors understand this; you are not the first woman who has had these problems and made these decisions. They are tough decisions but you can get a tubal ligation done if that's what you think is best for you.

Table of Contents
1. Condom breaks
2. Failure rates
3. Switching pill brands
4. Getting pregnant on the Pill?
5. Night sweats when on the Pill
6. Prefer tubal ligation
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