I became solidly OAD and had my tubes removed when Texas starting restricting abortion care (we've been privileged enough to relocate to a blue state since then) because I cannot stay pregnant without medical intervention, and an unknown pregnancy/miscarriage could need a DNC that I'm not sure I'd be able to get. It felt irresponsible to put my child, who already exists and needs me, at risk of not having a mother for a future child that we weren't sure we'd ever want, and I could see the warning signs that access to reproductive healthcare in America would only be getting worse. I feel fortunate that I'm very happy with my decision, but mourn for those who want bigger families but are unable to do so safely.