I'm 24 and I had my tubes clamped a month ago. The OB/GYN looked at my pregnancy, birth and mental history before making his decision. He still tried to talk me out of it and to get the mirena though. Both my partner and I are very happy with the children we do have and neither want any more. Both our boys have extra needs which require more of our time. Not that that's a reason, but it just added to the main 3 things the OB/GYN looked at.

I had to be medicated to get through Tristan's pregnancy and I still suffer daily from the trauma of having Brendan. I cannot go through another pregnancy or birth and to us our only option left is adoption (or surrogacy) but for now we are focussing our attention on our gorgeous boys.

My advice is to think about it long and hard, it is a surgery after-all.