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I'd talk to her about it. Realize that no birth control is 100% effective, including tied tubes.
The more protection you use, the lower incidence of pregnancy...
Talk to her and her doctor, and decide if sex is worth the risk (do this as a group: you, her, and her doctor).
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"I can't understand why people are frightened of new ideas. I'm frightened of the old ones." -- John Cage (1912 - 1992)
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