Getting a tubal ain't no picnic either. Mine's been done twice, yes, redone after the birth of child #3. and it's a hormonal, bleeding, pain in the ass of a nightmare. I never used to have spotting or PMS. Now I am evil bitch on toast 2 weeks out of the month. These are all 'normal side effects' according to doc & 2nd opinion doc.
I guess if you go against nature, nature goes against you?
There's no easy solution.