My patient, Megan, is 27. She has never had children and is certain she never wants them. In the days after the U.S. Supreme Court overturned Roe v. Wade , she scheduled surgery to have her fallopian tubes removed.

She was not alone. Tanesha, 29, a mother of two, decided her family was complete. And Cara, 30, already balancing care for a child, a sister’s children, and her aging mother, wanted to be sure she wouldn’t face another pregnancy. All three women sat across from me on a single afternoon, asking for the same procedure: permanent contraception, often referred to as “getting your tubes tied.”

At face value, none of these stories is surprising — I’m an OB/GYN and regularly perform the surgery for sterilization for women, which we call permanent tubal contraception. But it was odd

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