When I broached the subject with my doctor he asked how many kids I have. I said 0. He seemed to have more of a personal reaction as if a friend had said that and he started to push back ever so slightly saying something like “but kids are great”. I just responded matter of factly that that shouldn’t matter. He instantly snapped out of it and back to doctor mode, apologized, and set up the referral. I was snipped inside a month with not another whisper of hesitancy from anyone.