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Airgas20141 karma

I'd say 4 years is enough to know if it's permanent or not. Unless you explicitly don't want a child, I don't see why you wouldn't want to go this route.

I say this knowing how completely judgmental I sound and how it isn't any of my business, I just can't wrap my head around why you wouldn't go this route if it was confirmed or at least a good chance to greatly reduce her pain.