As a woman, married to a non catholic who refused to have a vasectomy and having 8 children, 5 by c section I decided to have my tubes removed. I neither did this easily or lightly. I did figure that the 8 kids I have needed there mother with them, not dead because of another pregnancy. It is a decision that ways heavily on me every day of my life, we dont all make these kind of choices easily. If I dont go to heaven at least I will have been the best mum that I could be .