It’s not necessarily about having children to fill the void. After having my twins in December of 2011, I tied my tubes because I was in an abusive marriage. My children were taken in may of 2012. Shortly after, my marriage fell apart. My husband and I divorced. Now I am married to a wonderful man. He only had 1 child, whom is almost 16 years of age. We both want another child, but do not have the resources or the finances to get my tubes untied. That is the major problem. The surgery alone costs $5000.