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Permanent/long lasting birth control question

Hey all. I’m looking for any insight you may have on long-term-to-permanent birth control.

Background: I am 31. I have no kids. I have known for a long time that I do not want kids. If that changed down the road, I’d 100 percent happy to adopt or foster, but changing my mind on wanting children at all seems highly, HIGHLY unlikely. I know for a stone cold fact I don’t want to ever be pregnant though.

Complicating things slightly, I am not a candidate for hormonal birth control. I’ve tried 7 different pills that all had horrific side effects- the last one made my blood pressure jump into stage 2 hypertension range. So, that’s pretty much off the table. Based on that, I don’t know if I could even do a hormonal IUD. The copper IUD scares me, from what I’ve heard about cramping, excess bleeding and risk of perforation.

f Now, we live in the darkest fucking possible timeline for reproductive access, and I am afraid. I live in the south (Texas) and I’m fully expecting some shit to go down in the vein of Georgia and Alabama. I’m not in a place career wise or financially to pack up and move to a blue state.

My next thought is tubal ligation or bilateral salpingectomy (Fallopian tube removal instead of just having them cut and sealed). The quote I found for the procedure through my insurance is somewhere between $4000-$5000. Which is not a small amount of money, but if I could get care credit and also start saving up now it would be worth the peace of mind.

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Has anyone here had their tubes tied or removed? Any thoughts or tips you can share?

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