As a man who's been very sure he wanted to remain childfeee since his teens: most surgeons won't sterilize men on request either. I was told several times to come back after I was married with at least three kids. Had to move to the literal opposite corner of the country to a place where Planned Parenthood isn't under constant assault to get a vasectomy after decades of chasing one.

my surgeon has your mindset and i trust her with my life. she also said if i decide to start T she manages transgender care as well. a few months ago i even saw her on a youtube ad advocating for womens rights and body autonomy. i just hope she doesnt leave the area, as a lot of doctors do here.