I know all of your first paragraph from firsthand experience! I'll spare you my sterilization saga, but, yes, I know about the gatekeeping, and also about the recovery time (and possible complications). But in this environment, the alternatives are worse (and I've since seen at least one news article where there are indeed other women who feel that way). I think what I'm more surprised about is that women are apparently jumping to getting their partner fixed as the solution to this, rather than wanting to get fixed themselves, even if it's a hard sell. It's not so much the outcome but the mindset that is weird to me, but, again, I started making my case to GYNs for my sterilization back during the GWB era because I could see that overturning Roe was where they wanted to go.