Officially joining this club at delivery, or the next day. This pregnancy has been a miracle in how well-managed it has been, not to mention that it happened at all. But I have still been incredibly miserable, I am still anticipating a good battle with PPD, I still can't stomach the idea of more grief, and I'm nearly 40. If God has other plans, He'll see the tubal as no problem, but for me, I need some peace of mind that I will never be in this kind of physical/emotional jeopardy again.
So many folks are saddened with this decision, and I am so sorry you are forced into it by HG. For me, I am relieved. Plain out relieved.