
Dr. Catharine Roos, from BellaNova Women’s Health in St. Joseph, MI, only requires that you’re 21 (to comply with certain Medicaid and private insurances). Tubal Ligation. No binder needed, no fake partner, just needed to be 21+ and know I wanted it. She did ask respectful questions to make sure the procedure would actually fix the problem I was experiencing (I mentioned hating my period, which a tubal wouldn’t fix, and she checked to make sure it wasn’t a gender dysmorphia issue).