I am 22 just had my third child a year ago, as long as you are over 21 or have at least 2 children, there is no reason a doctor should not tie your tubes, unless it is just their "believe". I too wanted my tubes tied, but I couldn't handle the thought of still having a period and never being able to carry a child again, I had the worst pregnancy with all 3 of my children, and I still didn't want to be fixed..go figure!...anyways, I had the a similar issue with a dr I saw while my dr was unavailable, my cr and I had discussed enducing me due to problems of being so big while pregnant.... this other dr said there is no way she was going to schedule me for this...I talked to my dr and told her to keep her away from me and she did and I was enduced a week later. There are other alternatives though, I too have problems with the shot and pill, I myself am looking into the IUD, there are pros and cons as with anything, maybe request a pamphlet from your doctor, it may be something you are interested in. Either way its your choice!