Actually in your case, its not the doctors that will be the problem ... it will be insurance. That is, they have a chart of when people are allowed to have this procedure and it may or may not be based on sound medical knowledge. I know of one case where a woman was desperate for a hysterectomy (due to an extremely painful condition in her womb) but couldn t have it until she was 40. If you can afford to pay for the operation yourself (or you have an enlightened insurance company), then most any doctor will recognizes your medical predicament and recommend a solution. There are a number of female permanent birth control methods. Having one s tubes tied (more formally known as tubal ligation ) comes to mind. Alas it is more involved than its male counterpart (vasectomy), but it is pretty commonplace and safe. You don t want to have a hysterectomy due to the hormonal implications (and cost and comfort). If you can get your tubes tied, that s what I would do, because in some cases it can be reversed should medical science figure out a way for you to be able to carry your would-be children to term. It will also be cheaper, more comfortable, etc. RANT: Do us all a favor - if your insurance company refuses, beat them up over it in court. Clearly making you use birth control for the rest of your life may be easier from THEIR point of view, but not from yours. This is the same sort of logic that has insurance companies paying for viagra and not birth control. Disclaimer: Neither tubal ligation nor hysterectomy is substitute for common sense regarding the prevention of sexually transmitted diseases. These procedures are effective at preventing pregnancy but have no effect on most STDs.