A LOT of people change their mind. Mostly it's due to a couple completing their family, so they take appropriate action (even in their early 20's). Then the marriage/relationship breaks down and they meet new partners. Often the new partner doesn't have kids and really wants them, so there is this desperate attempt to have their previous decision reversed and when that fails, the high expense of IVF (which in itself causes a lot of relationship breakdowns due to the high stress involved).
The success of reversal isn't overly high. Some are lucky, some aren't. The reversal procedure for both men and women is lengthy, and very painful. 1,000 times more so than when it was first done. It's major surgery as opposed to a day procedure for the intial snip. For women that have a successful reversal, the risk of ectopic increases significantly. I don't know which would be worse, not being able to fall pregnant after a reversal or being told yes, you're pregnant, but we're going to have to kill it or it will kill you.
Having said all that, I wanted a hysterectomy at 30. No-one would touch me because I hadn't had kids. I didn't want kids, but they said I may change my mind. My husband had already had a vasectomy and after seeing them being reversed, I wouldn't let him do it, even if he wanted to. I asked again aged 40 and they still said no for the above reasons. Guess what I'm having for my 50th birthday next year!
When I was growing up, I always assumed I'd get married and have kids. I think it's a normal thought for girls. As I got older, I said if I didn't have them in my early 20's, then it wasn't going to happen. It didn't happen and it's probably not a bad thing. I am a very selfish person and very intolerant. I can't tolerate disobedient kids and I refuse to accept the modern day mamby pamby method of raising kids. Basically, I'd be in jail now if I'd had kids because they would have been smacked if they were naughty. They wouldn't have been given everything they demanded. No would have meant no.
I have known plenty of people over the years who said they didn't want kids. They hit their mid 30's, the biological clock became deafening and they all now have kids. Some regret their decision, most are pleased. People change, circumstances change, life changes. Yes, there are a few people who say they don't want kids and mean it. Most say it, but then change their mind. As already mentioned, there are reliable methods of contraception that are safe for use in the long term, that can be reversed if the need arises.
The Implanon that was mentioned (the one in the arm), it stays in for 5 years. It can be removed at any time. There is also Depo Provera that is an injection every 3 months. Again, it can be stopped at any time. They are far better than the pill because you don't have to keep remembering to take it every day and you don't have to go into a panic if you've been sick or been on other short term medication that can render it useless for a few weeks.
I can totally understand any surgeons reluctance to do these procedures on younger people. After all, they're the ones that then have to turn around and spend 6-8 hours reversing it if the person changes their mind. If a female is deadly serious about not having kids, prove it by having a hysterectomy. That CAN'T be reversed. Then, if you change your mind, you have to live with the decision.
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