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Last October, she took the definitive step of undergoing a sterilisation procedure known as tubal ligation - permanently closing the door on motherhood.

I didn't have to worry about that to the point where a year after we were married, I went ahead and had tubal ligation because he didn't want kids, I didn't want kids.

But tubal ligation is frequently promoted as a nearly bulletproof option that prevents pregnancy.

“These have been mostly orthopaedic, cataract and a few tubal ligation surgeries for women who no longer wish to fall pregnant,” Dr Kariem said.

“The cost and complexity of the procedure of a tubal ligation is much higher, yet we're still seeing different uses of tubal sterilization versus vasectomy.”