The memes make themselves
Sexism no. Lack of body autonomy? Probably.
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Even pre fall of Roe, it’s never been as easy for a woman to get a tubal, not like it is for men to get vasectomies, and not due to the different procedural complexity.
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Mileage varies, always, but even with kids, a woman is often refused a tubal, pre 35 yrs of age. Especially when single. Future potential husbands get cited. Yes, really. The last person I personally knew who was refused a much wanted tubal was a 26yo mother of 3, and it was 2018. The health insurance wasn’t through a religious institution either. (That can also matter, yes).
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“You’re not married, and you might decide later to…”
I’m familiar with that bullshit. A good friend of mine has a history of really severe medical issues in her family, and tried to get her tubes tied at 30, as she and her husband decided not to have kids, and adopt instead. Her doctor didn’t want to let her do it in case they changed their minds. It’s none of their fucking business. That’s not okay in any way, shape, or form. :/