I've wanted one since my early 20s if not since my teens. Some of my reasons have changed and I've had some periods of doubting if it was really the right option, but as I'm now 31 and still certain after over a decade that I absolutely do not want biological children, and now know it would be dangerous for me to deal with pregnancy because of my heart condition, I'm pretty sure permanent is the correct option. Menopause at a young age isn't exactly appealing but at this point with the issues I already have I am starting to wonder if it could really be any worse, and suspecting the trade off might be worth it. But I already have a stack of different things that combine to make me feel like menopause couldn't be that much worse 😆