I've been thinking about getting a tubal ligation; I know I don't want children, and neither does my fiancee or my other partner. I suppose that I should look and see if my insurance covers it. Birth control meds make me go crazy and so aren't really an option.

I'm a little worried that I'd have to find another doctor--there is a huge stigma about doing a tubal ligation on women under about 40, because 'you might change your mind'--and I really like the doctor I already have. The way I figure it, if I were to somehow change my mind, I could adopt.