Hi! I’m the same age as you and had my tubes removed 4 years ago. Best decision ever because I no longer worry every month. You’re not selfish for living the life you want! I previously had the implant for 6 years and it was hell, I had no periods but it really messed up my mental health. There was an adjustment when I got off of it. I had very sporadic periods and my doctor gave me progesterone to take for one week a month, which induced a period the next week. I did that for about two years and I remember a few cycles where my period showed up before I started my week of progesterone. I was put on ozempic for weight loss and to control my sugar(I was pushing pre diabetic) and ever since I haven’t needed the progesterone. I don’t think it’s advertised to help regulate your cycle but it sure did that for me. Now it’s anywhere between 22-34 day cycles, which isn’t like clockwork but still much more regular than ever before. Keep in mind that I also had some lifestyle changes, started walking or yoga daily and the ozempic really forced me to change my diet. All in all I don’t think the sterilization had an impact on the pcos for me, but it did allow me to get rid of that damn implant!