Hi Trish, sorry I missed your reply/post.
"I don't want to risk hormonal contraception; I am 33, a smoker, and had a small blood clot in my leg. (near the surface, not deep, but it made me nervous) That leaves barrier methods which are only effective when you're deliberately having sex, and an IUD. I have an IUD now, and while it's nice not to have to remember anything, I have really painful cramping and spot for ~3 weeks of every cycle. Hence, sterilization."My goodness, that all sounds dreadful. And clotting is a really serious danger. As far as the the pill is concerned it gave me dreadful morning sickness. Condoms also failed. Billings failed. And I had to hide all my contraceptive issues from the church I was in.
My daughter, who is quite a placid girl also gets morning sickness from the pill. So she had an implant put in her arm after her first child was born. It quite literally sent her off her head, and my son-in-law actually was really quite frightened for them all. The doctor had to quickly whip it out of her arm, and after a couple of weeks she settled down.
She's since had another child, and she has to either have at least 3 children or, ( I think??) be around 35 or 40 y/o before she can get her tubes tied.
They really don't want 3 children, they're very content and happy with 2 children, a boy and girl, and have plans to do things in a few years when the kids are able to travel. Hubby's not too happy about it all, but he's looking into getting the snip so they can make plans for their future. A bit of stalling going on there I think

. But they've got to do something, They both work, she is also studying, and they've already got all they want, 2 small children. It's a real bother.
I think sterilization is a decision that is any person's right, so long as they're making an intelligent and informed decsion.
I hope it's okay to share a joke here that a friend sent me recently.
If men could get pregnant, abortion would not only be legal, it would be a sacrament!! 