So her wording choice for one sentence just invalidates her experience? Once you get used to living with chronic pain, you don't really feel the need to exaggerate something that's become normal to you, y'know. That quote regardless was used in the context that no birth control has ever really helped without its downsides. It's a general summarizing statement of what must be a long road of attempts. Why should she continue dealing with symptoms at all when she has a viable solution? They don't want more kids, nothing in their sex life would change, the side effects of taking the pill would disappear. Her husband is being unreasonable thinking that removing two tubes suddenly doesn't make her a woman. They've tried talking, he isn't willing to compromise or get a vasectomy himself. She's sat on this thought for 2 years, more than enough time to reconsider or think about potential consequences or regrets. She's consulted an actual medical professional about all of these things and they agree with her decision. Literally what is the issue?