A large number of professional women end up having their first child in their late 30s. I would say the number of women (and men) who change their minds later i

A large number of professional women end up having their first child in their late 30s. I would say the number of women (and men) who change their minds later in life massively outnumber the ones who don't. Combine that with a rabid medical malpractice industry and any doctor would have to be crazy to do the procedure. Incidentally its also almost impossible as a guy to get a vasectomy at that age as well.