I'm lying here during my fifth consecutive day on the couch, pondering this blog post, knowing that you can't retract something once it's online. I had surgery last week, and I told as few people as possible what it was for; I was nervous enough about having surgery, so I didn't want to deal with having to talk about it. But now I think I should, because it's a choice I'm proud of. I'm opening myself up once
again to tell a story that might help someone else.
Here's the thing: I don't want children. I can't express how passionate I am about this. It's a decision I made less lightly than many I know who made the opposite one.
Here's the other thing: Birth control options leave much to be desired. There are essentially four options that can promise 99% effectiveness: the IUD, the implant, sterilization, or doubling up (combining more than one of these or other methods). I would not be happy with anything less than 99%. (This is true in most aspects of my life, come to think of it.) And if I knew beyond any doubt that I didn't want kids, why should I put myself through many years of anxiety and/or artificial hormones?
In Oregon, you can be 15 years old and choose to be sterilized. So I went to my doctor at 22 and expressed my desire to get a tubal ligation. Tubes tied. The ol' snip-snip. She said flatly, "You're too young to make this decision." Then she proceeded to tell me she'd had the procedure done herself and later had come to regret it. Just like that, my right to make my own decisions was stomped on by someone who thought she knew what was best for my life. Not for my
health. For my
life. That is an important distinction. It was not this doctor's job to do what she did, well-meaning though it might have been.
I was sent away to a gynecologist to get an implant, a little flexible hormone-rod that is inserted into your arm. My confidence was low and I felt like I wasn't even worth listening to, so I said to the gynecologist that I wanted my tubes tied but that I was willing to try the implant first. I walked away with a bruised arm but with the best birth control (other than abstinence, yes, obviously) there is. I was told to give it six months to see if any side effects would level off.
There were side effects, all right. Truly monumental mood swings: elation to inconsolable sobbing to fury in mere minutes. Unpleasant symptoms of hormonal imbalance in the nether regions. And the bleeding, so much bleeding. I'd bleed heavily for at least two weeks out of every month, and it was completely unpredictable. For a few months I thought I'd be okay, but every time the bleeding started again I would feel like screaming. I was trapped in a body that I was putting through these trials... for what?
Fortunately, I eventually chatted with my aunt. I'd remembered that she had a tubal ligation at just about my age. She kicked me back into gear, offered to help, reminded me that my decisions are justified. My disgust and anger at the doctor were reawakened; I couldn't stop thinking that I was just like livestock to those who would stand in my way, livestock whose breeding capabilities must be preserved at all costs. I was bitter. I was also gushing fountains of blood and dealing with the forced mood swings that never went away.
It had been more than six months that I'd been living with the implant. I went back to the gynecologist and said, yes, I was willing to try the IUD, but I knew that I would always just want to be sterilized. She listened, gave me gentle reminders of the alternatives, gave me a referral to a surgeon.
I went to the appointment with the surgeon shaking with nerves, going over my prepared speech, trying to ignore all the "Babies rule!" signs and framed baby photos everywhere that seemed designed to make me feel
less than. But the surgeon said she'd do the surgery. She asked me what my preferred method was: cauterizing, tying, or removing the tubes. That was a "duh" decision if I've ever encountered one. I jumped back in the car and squealed with delight. Someone had listened to me! I had been granted control over my body!
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Excited to be in this hospital. |
I had the tube-removal surgery a month later. The surgeon even removed the implant at the same time. The cost was low, and the surgery process was downright pleasant. I have little pain at the moment unless I try to cough; I was taking some intense pain medication for a couple days until I ended up with an incredible thumping "narcotic headache," vomiting painfully at five in the morning (breaking my six-and-a-half-year vomit-free streak, sadly), but I seem to be doing fine without the meds.
And, most joyously, I feel like I'm finally in the right body. I'm free. I could go on at length about my reasons for not wanting to reproduce. But that's not the point of this post. To head off the protests, I'll just say this: I would much rather regret
not having a child than regret having one. And in the meantime, I will most happily be tubeless.