I think you will find more women making the perm. choice now that there is so much pressure about the "personhood" stuff. I was on a IUD for years after having my kids because my Dr thought I was a bit young to make the perm. choice. I am having my tubes done this fall but it has been 7 more years for me to be sure. with all the politics out there on what women can and cant do with their bodies if you dont want them just get it done.