How fucked up is it that we are deemed mentally broken and must have lived through some sort of trauma as an explanation as to why we don’t want children.I've just got to the bit in June where someone asked about getting their tubes tied - I managed to get it done on the NHS in my late 20s, which I'm immensely grateful for and I don't think would happen now, I'd get fobbed off with a Mirena. I started asking my GP at around 23 for a referral, got refused, kept asking every six months when I had to go back to see him to get my prescription for the pill, and after four or five years of this the GP who took over from him when he retired got fed up enough to refer me. I then saw two different gynaecologists, who weren't very happy about the idea and eventually said that if I'd agree to attend a couple of sessions with a psychiatrist for evaluation then they'd do it if he agreed. So off I went to the psych, who had somehow got the idea that I wanted my entire womb and ovaries removed, so I spent most of the first session explaining that wasn't the case, and then in the second session he said he wanted to hypnotise me to see if there was some lingering childhood trauma that meant I didn't want kids. He failed to put me in a trance and was so annoyed by this that he sat on my notes for six months, refusing to hand them back to the gynacology side of things. In the end I wrote a really annoyed letter to the Primary Care Trust in charge, which ended with 'I understand that everyone is concerned about me making a life-changing decision at a relatively young age. But a 17-year-old getting pregnant and deciding to keep her baby is also a life-changing decision at a relatively young age and she doesn't have to work her way through two GPs, two gynaecologists and a psychiatrist to be allowed to make that decision.' I had an invitation for a pre-op assessment four weeks later. Best thing I ever did.