Why is it still so hard for women to get permanent birth control? Across TikTok, Reddit, and even news stories, young people are sharing their frustration at being turned away by providers when they ask for sterilization. At the same time, a growing movement is pushing for elective salpingectomy- the complete removal of the fallopian tubes- as the gold-standard surgical option for contraception.In this episode, we dig into what salpingectomy actually involves, why many gynecologists now recommend it over traditional “tube tying,” and the evidence behind its effectiveness, safety, and recovery. We also explore the added benefit that’s changing the conversation entirely: the potential to lower the risk of ovarian cancer.If you’ve ever wondered why doctors hesitate, what the research really says, or whether permanent contraception could be right for you, this episode is a deep dive into autonomy, evidence, and the future of surgical birth control.

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