I think this will be highly regional & medical system dependent. FWIW I got mine when I was 28 here in Minnesota, before I was married. Doctor just asked how ce

I think this will be highly regional & medical system dependent. FWIW I got mine when I was 28 here in Minnesota, before I was married. Doctor just asked how certain I was, I said 9 or 10 out of 10, and he booked me for surgery. That was it. This was at a university-associated urology clinic.