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I'm a 36 year old woman who had a bilateral salpingectomy in the Bay Area on December 29th. Reading everyone's experiences on this sub and on r/childfree was super helpful. My experience has been pretty consistent with what I've read on here, so I'll share anything that surprised me. Approval: couldn't have been easier. My regular gynecologist happens to already be on the childfree doctors list. I said I was certain I didn't want kids and had tried multiple birth control methods throughout my life and hadn't been comfortable with any of them, especially with an autoimmune disorder (Hashimoto's thyroiditis). My doctor was extremely supportive and enthusiastic about the procedure. Scheduling: as someone who is hyper-organized, this was hard. It took over a month after my ultrasound to get a surgery date. A week or more would go by without hearing anything. Once I did get scheduled, the time of my surgery moved around a couple times, but I didn't mind. Insurance: last year, Cigna said they'd cover 100% of costs for a bilateral salpingectomy for sterilization.
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corrected at a good shop. A dirty windshield causes eye fatigue and can pose a safety hazard. Replace worn blades and get plenty of windshield washer solvent. Have your tires rotated about every 5, 000 miles. Check tire pressures once a month; let the tires cool down first. Don't forget your spare and be sure your jack is in good condition. Check your owner's manual to find out what fuel octane rating your car's engine needs then buy it. Keep your tires inflated to the proper levels. Under-inflated tires make it harder for your car to move down the road, which means your engine uses more fuel to maintain speed. Lighten the load. Heavier vehicles use more fuel, so clean out unnecessary weight in the passenger compartment or trunk before you hit the road. Use the A/C sparingly. The air conditioner puts extra load on the engine forcing more fuel to be used. Keep your windows closed. Wide-open windows, especially at highway speeds, increase aerodynamic drag and the result is up to a 10% decrease in fuel economy.