My niece lives in Missouri so I can't say I blame her. One who had 3 kids already had to tell her dr she'll just go to someone else to do it if they couldn't. seriously its not their business why its wanted but you know, gotta save women from themselves....
My guess is if she were a man requesting a vasectomy there would be no questions asked and the surgery would be scheduled.
Anecdotally, when my husband got his vasectomy (at age 29/30), his doctor did ask a couple of questions: are you sure? and what if you were to remarry in the future? When my husband said that the four children he had were enough and he does not want more (period,) that was the end of the conversation. But that was all it took. There was no second guessing his decision, no refusing to do the procedure because he might regret, no getting my "permission" etc...
I wonder - Do women get this same push back from female gynos, or is this older misogynistic male doctors "saving the little lady" from herself sh*t?