This is exactly the issue. A friend of mine knew for a fact she never wanted to have children, but at the time was in her early twenties. Finding a surgeon who would do it was damn near impossible. Half of them refused without speaking with her husband (!) the other half just refused period saying she was young and didn’t know what she wants and would change her mind later.

At NO point was ‘my body my choice’ part of the discussion.

There was a similarly good thread on Reddit a couple weeks back about a woman who just gave birth and was having a lot of pain and knew something was wrong, and the doctor just dismissed her and said she’s being hormonal. It wasn’t until her husband threatened to sue the hospital that they finally got her a different doctor, who rushed her into the ER and as I recall said if she waited another day she’d have died.

The point is, and the problem is, that medical establishment has an awful habit of denying women agency over their own bodies. Always wrapped in valid reasons, but the result is still the same.