Sterilization: Difference between revisions

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'''Sterilization''' means many kinds of body modification that make a person's body so that it can never make children. Sterilization is part of many kinds of gender-validating [[surgery|surgeries]] that [[transgender]] and [[transsexual]] people (including some [[nonbinary]] people) may want in order to change their reproductive organs and genitals ("[[bottom surgery]]"). However, in many places, transgender and [[intersex]] people get sterilized even if they don't want to be.
'''Sterilization''' means many kinds of body modification that make a person's body so that it can never make children. Sterilization is part of many kinds of gender-validating [[surgery|surgeries]] that [[transgender]] and [[transsexual]] people (including some [[nonbinary]] people) may want in order to change their reproductive organs and genitals ("[[bottom surgery]]"). However, in many places, transgender and [[intersex]] people get sterilized even if they don't want to be.
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A: "I'd like a permanent method of birth control that I can just set up once, instead of having to negotiate with it every time I have sex. Plus, sterilization is something that a sex partner can't remove, damage, or tamper with. I know I would still need to use condoms to protect against sexually transmitted infections (STIs), and they're very effective as birth control. It's wise to use more than one kind of birth control at once, and sterilization is a great back-up for condoms."
A: "I'd like a permanent method of birth control that I can just set up once, instead of having to negotiate with it every time I have sex. Plus, sterilization is something that a sex partner can't remove, damage, or tamper with. I know I would still need to use condoms to protect against sexually transmitted infections (STIs), and they're very effective as birth control. It's wise to use more than one kind of birth control at once, and sterilization is a great back-up for condoms."
If you can get pregnant, another possible answer is "If I'm sexually assaulted the person doing it won't use a condom."  However, some doctors might see this answer as antagonistic.




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Q: "Why don't you go on the Pill instead?" (A kind of temporary birth birth control they'll try to get you to use instead, if you have a uterus.)
Q: "Why don't you go on the Pill instead?" (A kind of temporary birth control they'll try to get you to use instead, if you have a uterus.)


A: "My concerns about the Pill include that it works by changing one's hormone balance. I don't want to do that." If you have past experience with the Pill, it would be appropriate to talk about it.
A: "My concerns about the Pill include that it works by changing one's hormone balance. I don't want to do that." If you have past experience with the Pill, it would be appropriate to talk about it.
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A: "I'd rather prevent unwanted pregnancies in the first place. I don't want to have to deal with the health risks and the moral dilemma of an unwanted pregnancy. Sterilization is much safer for my physical and mental health than an abortion."
A: "I'd rather prevent unwanted pregnancies in the first place. I don't want to have to deal with the health risks and the moral dilemma of an unwanted pregnancy. Sterilization is much safer for my physical and mental health than an abortion."


==== Changeability ====
==== Changeability ====
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Q: "What if you regret it after you get sterilized?" Or, "What would you do if you were sterilized and then decided you wanted to have children?"<ref name="sterilizationqa" />
Q: "What if you regret it after you get sterilized?" Or, "What would you do if you were sterilized and then decided you wanted to have children?"<ref name="sterilizationqa" />


A: "I'm confident that you will never want children, by adoption or otherwise. I'm never going to change my mind." It's appropriate to explain in more detail about why you know you'll never want children. Just keep a respectful tone about children and people who have children, because if you personally offend the doctor by insulting their life choices, they might not want to do business with you. "I'm confident that I won't regret it. How about this offer: I could write and sign a paper, a release form that says I won't sue you or hold you liable for that reason. Would that satisfy your concerns?"<ref name="hollowdoll" />
A: "I'm confident that I will never want children, by adoption or otherwise. I'm never going to change my mind." It's appropriate to explain in more detail about why you know you'll never want children. Just keep a respectful tone about children and people who have children, because if you personally offend the doctor by insulting their life choices, they might not want to do business with you. "I'm confident that I won't regret it. How about this offer: I could write and sign a paper, a release form that says I won't sue you or hold you liable for that reason. Would that satisfy your concerns?"<ref name="hollowdoll" />




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A: "More likely, if I had a child, it would confirm that I do not want a child, just as I always knew to be the case. Having an unwanted child would be a cruel and pointless experiment."
A: "More likely, if I had a child, it would confirm that I do not want a child, just as I always knew to be the case. Having an unwanted child would be a cruel and pointless experiment."


==== Children ====
==== Children ====
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A: "There are women (or men) who don't have children, and they are very real women (or men)." Or, "I would be pleased to not be a real woman (or man)." However, it might not be wise to hint at nonbinary gender identity to a doctor with such a crude attitude.
A: "There are women (or men) who don't have children, and they are very real women (or men)." Or, "I would be pleased to not be a real woman (or man)." However, it might not be wise to hint at nonbinary gender identity to a doctor with such a crude attitude.
Q: "If you don't want children you're mentally ill, so you can't be trusted to make such a serious decision."  This is also not a question.  If you hear this from a doctor, you are probably better of finding a different doctor.  If you truly have no other options, one possible response is
A: If you think I'm unable to make a decision about my own body, then I certainly can't be a parent and make decisions about a child's body.


== See also ==
== See also ==