Prescription Records

I see. How old you are you? I can imagine that surgeons might have somewhat more hesitation performing a permanent procedure at a younger age simply due to a higher risk of attempted reversal.

To this point you have not tried alternative methods such as the pill, IUDs, or implants? You said that you don't want to be fat and miserable, but have you had any first hand experience with estrogen/progesterone? There are also non-hormonal IUDs which have well over 99% effectiveness in pregnancy prevention.

Obviously you are entitled to do what you want, but as medical providers one wants to attempt to manage things conservatively if at all possible. Invasive surgery, even if laparoscopic, still has risks whether it is from the procedure or general anesthesia.

>No guy wants to wait 3+ years for sex.
The right one will.

I'm 24. It's not the side effects of birth control that's the problem. It's the fact that my phobia won't let me be intimate until there is a 0% chance of pregnancy, which is only possible through a bilateral salpingectomy. My demographic has a 6% chance of regret, with 4% of those being due to marital issues and pressure from partners. I am aware that their are risks involved with any form of surgery. The reward outweighs that risk for me.

None that I've met. I've gone through 8 relationships because of this and the most they'll wait is a year.

Pure autism.

It sounds like you have a plan of action, and you know what you want. Have you looked up Essure? I know that is another permanent treatment which completely blocks off the tubes. It can be done outpatient and without anesthesia.

Recently essure was sued for complications and is no longer offered in all but one province in my country. I would much rather go through surgery regardless.

I know it's not rational. Otherwise I wouldn't have gone through 3 years of therapy.

I'm not sure how insurance works wherever you are from, but make sure to do your due diligence when reviewing potential surgeons and medical teams. One of the benefits of an elective procedure is having that sort of choice (at least here in the US). That said, make sure you are aware of all of the potential ramifications and the downtime you'll need. Complications do happen, and I've seen patients blow off risks completely, until they end up with a DVT in their leg and have to end up on blood thinners. This isn't meant to dissuade, just inform.

All elective, non cosmetic surgeries are covered in my country. I don't have much of a choice about who performs the surgery but I can choose a reputable doctor to refer me. I've chosen to move to a larger city next year purely for better surgical prospects.
It should also be stated that the risk of a long term hormonal birth control and/or pregnancy outweighs the risk of a one-time elective surgery. I'm aware of the risks, but I still think it's the best option for me. My tokophobia has brought on so much misery.

You do make a valid point. Blood clots and even cancers are risks from artificial estrogen and progesterone. Actually, there is a pretty large link to total time under the effects of estrogen so early menses and late menopause also increase cancer risk.

I've been with women who very firmly did not want children, but nothing to the extent of a phobia. How long have you felt this way? Do you know of an originating cause of these feelings? Has it always been a very strong feeling or has it waxed and waned with time? I know I'm kinda an ass for asking analyzing questions, but it might help to understand it a bit from an authentic perspective should I find a patient in the future who feels the same.

kek

>How long have you felt this way?
I've felt this way ever since I knew about the reality of how pregnancy works, from as young as the age of 11.
>Do you know of an originating cause of these feelings?
I think it initially started during our school's sexual education class. I went to a Catholic school and we were learning about pregnancy and STDs. I vividly remember feeling extremely nauseous when we went over the various side effects and stages of fetal development. It all culminated when they made us watch an extremely graphic childbirth video. I had nightmares for a few months following that.
>Has it always been a very strong feeling or has it waxed and waned with time?
It was quite extreme when I first learned about pregnancy but calmed down as I rationalized myself about it (it also helped when I no longer was catholic. The virgin Mary was a very prominent symbol in the religion.) It started up again and gradually got worse when I started dating, since pregnancy was once again a possibility in my mind. That's the time I sought out therapy.
I don't mind talking about it as much anymore, and I don't think you're an asshole for asking. It makes me a bit queasy but I can make due.

I appreciate the response. It sounds like your education as a youth was somewhat traumatic to you. Each and every person reacts differently to a wide variety of things. Having performed a delivery as an EMT when I was younger, it is a pretty messy affair. I also understand the issues with Catholicism, as I've been on again and off again with it throughout much of my life.

At the end of the day, you have to find what will allow you to live a life where you will be content. Unlike the poster well above who said that the "right guy" would wait for 3 years, I think you kinda hit that on the head. Sexuality is an important part of relationships, and it brings about its own sense of intimacy.