Here's something I've noticed after 33 years as a urologist.
When a couple comes in to talk about permanent birth control, they've almost always already made the decision before they sit down. She's getting her tubes tied.
Not because it's the better option medically. It isn't.
Because he didn't want to deal with it.
I'm not saying that to shame anyone. I've had this conversation hundreds of times, and I get it. Vasectomy sounds scary. But when I actually walk couples through what each procedure involves, the room gets quiet fast.
Here's what I tell them.