澳大利亚女性杰西卡·提姆斯(Jessica Tymms)自12岁起便确定不想生孩子 1。她患有月经过多症(menorrhagia),严重影响生活质量和工作 1。尽管她在25岁时首次向医生请求子宫切除术,但遭到以“太年轻”或“会改变主意”为由的拒绝 1。随后,医生建议其先试用宫内节育器(IUD)作为替代方案 1。
提姆斯在使用IUD长达三年半期间,遭遇了避孕失效导致的意外怀孕 1。当时她居住在昆士兰州,而该州直到2018年才合法化堕胎,加之她担心异位妊娠的风险 1。最终,她在周一的超声检查时确认已自然流产 1。这一经历使她深刻意识到现有避孕措施的局限性及医疗系统对女性自主权的忽视 1。流产后,提姆斯再次强烈要求子宫切除术 1。
第二位妇科医生同意其决定,但要求等待六个月以排除冲动决定 1。经过漫长的等待,提姆斯于31岁时成功进行了永久性绝育手术 1。手术后,她的生活质量显著提高,不再需要依赖止痛药、热敷包,也免去了处理经血污渍的麻烦,并节省了大量医疗费用 1。提姆斯表示至今从未后悔该决定,认为这体现了女性身体自主权的重要性及对医疗性别偏见的反思 1。
Jessica Tymms, an Australian woman who decided from the age of 12 that she did not want to have children, underwent a permanent hysterectomy at age 31 after years of medical resistance 1. Her request for the procedure was initially denied by doctors when she was 25, who cited her young age or predicted she would change her mind 1. Tymms suffered from menorrhagia, a condition involving heavy periods that severely impacted her quality of life and ability to work 1.
After being advised by physicians to try an intrauterine device (IUD) first, Tymms used it for three and a half years before experiencing a failure that resulted in an unexpected pregnancy 1. During this period, she resided in Western Australia but had previously lived in Queensland, where abortion was only legalized in 2018, and expressed concern about the risks associated with ectopic pregnancy 1. Following an ultrasound on a Monday that confirmed she had naturally miscarried, Tymms renewed her strong demand for a hysterectomy 1.
A second gynecologist eventually agreed with her decision but imposed a six-month waiting period to ensure the choice was not impulsive 1. Upon completing the surgery at age 31, Tymms reported a significant improvement in her daily life, noting that she no longer required painkillers, heat packs, or measures to manage menstrual stains, while also saving on medical costs 1. She has stated that she has never regretted the decision, viewing it as an affirmation of bodily autonomy and a challenge to gender bias within the healthcare system 1.
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