The childfree people haters are probably gonna come for me. I went to my doc to put options on the table since I don't want kids, and my monthly visitor is causing problems. Unfortunately, removing your tubes DOES NOT stop your monthly, so we went with a long-term birth control. I've heard horror stories about IUD insertions being painful, so my doc gave me an option to do it while I'm under.
https://youtu.be/tCuH7Nb99T8?si=oz8W5Rg6SoO6uhpA