Weirdly you have to be very assertive with telling doctors you want to be sterilized. They assume you haven't thought things through and will regret it. I researched beforehand so I went in knowing this so got it done on the first appointment.

I was "denied" sterilisation first attempt and talked into IUD, but the second attempt five years later I got one. They tried to sell me on IUD again but a thing I learned during that time was to stand up for myself and insist on receiving the care and treatments I want, so it's possible I could have insisted on it the first time around as well.

It's also possible I had an easier time getting through to them simply because I had listened to their advice the first time around and still wasn't content with it after five years, and I had turned over 26 years old.

A hormonal IUD or implant in your arm can help with gender dysphoria in two ways: prevent pregnancy AND prevent menstruation (if one doesn't work for bleeding the other likely will).

The IUD can be rough to put in and remove as its a gynecological, which can be both dysphoric and very painful (if you can get sedated or nitrous gas for it I highly recommend it!), but it only needs replacing every five years (can be removed/replaced during sterilisation or similar surgeries) and you shouldn't feel it's there at all, so no dysphoria trigger once it's in.

The arm implant is easier to insert as it's a doctor visit with no nudity required, but with a BIG fucking needle, and you need to replace it more frequently, and you can see it move and feel where it is when you touch the skin on your bicep. It's still not directly connected to genitalia so hopefully wouldn't trigger dysphoria every time you notice it, but that's a personal case.

It may be possible you can insist and get sterilised even at a young age. But if you are not already on hormones that prevent menstruation, the IUD or implant might even be a better option for you as it does two thing at once, and you don't have to remember a daily pill. I went back to IUD some years after sterilisation just to get rid of my periods, as sterilisation doesn't affect menstruation at all.

Norplant or IUD are some longer term options for birth control

First of all 🫂 Sorry for your pain

Secondly I find it sad thatthe common people have such a dangerous breeding kink that that they force this kink onto others by restricting access to birth controls, abortions and sterilizations for other people.

Thirdly Ill try to give you some advixe nut Ill let it he known that Im a 30 year old who has never been in a relationship and I was easily able to get my vasectomy at 23 years old so you can take this with a nig grain of salt since my situation is like iyours in almost no way. Ill say that one thing you can try to do is fimd a male friend of yours that you can REALLY really trust and you and that male friend get isnide the gynecologist's ofice, pretend that male friend is your boyfriends and say that you and him have had like 3 accidental pregnancies in the last 2 years and youre worried that you dont want to habe anymore accidental pregnancies. The gynecologist may give you the appointment with Planned Parenthood or wjatever types of surgeon does bisalps in your part od the world. They keep on rejectinf you after doing this? Then just try your best to wait i out till youre 30 or 35 cauee most Gynes are so brain ldead that they think that ONLY people of that age or older are sure enough of themselves to get a bisalp and not want it (even though the abortion and vasectomy regret rates are at like 5-10% depending on whicH studies you look into .So the bisalp regret rate is probably at a similar percentage) .

Also never settle when it comes to your dreams to be childfree. I feel that there will be many people who will come into your life trying to convince you or foorcing you to not be childfrrree anymore cause theyll say something along the lines of 'oh hey there are very few childfree males or childfree people to hook up and get into a relationship with ! So you oughta settle NOW and just have kids anyways ...(even though youll end up becoming an r/RegretfulParent Lol XD 😋)". Please dont listen to these ignoramuses . Theyre just mad that they, unlike you, having had the choice to remain childfree as you have they chose to become regretful parents... . Its your body , your life, , your rights, and your happiness -flex them when you feel like flexing them and grab ahold of your means of reproductions.... and use your rights to not reproduce when you feel like not reproducing.

Best of wishes on your journey 🫂