Permanent sterilization should not be taken lightly. While a crystal ball may not be practical, it is important to take a serious look into your future before making any decisions. “When thinking about permanent sterilization, a man or woman needs to be sure that they do not want to have any more children no matter what,” says UTMB’s Dr. Tristi Muir, associate professor in the department of obstetrics and gynecology and medical director of the Pelvic Health and Continence Center. “I counsel them to consider worse case scenarios including loss of a partner and remarriage, even loss of a child. Regret is most common in women who undergo permanent sterilization in their 20s and have a change in marital status.”