A woman is breaking the stigma of choosing to get sterilised - so now celebrates each child free year with a cake.
Kara Jankowski, 36, said sex with her husband Alex, 34, is like "being kids in a candy store" now she knows she won't get pregnant.
People have branded Kara "selfish" and have asked her "but who will look after you when you are older"
The child nutritionist said she has no regrets and wants to break the stigma of not desiring to have kids.
Kara from Davenport, Florida, USA, said: "I don't want to only enjoy my sex life when I go into menopause, so I made the decision to go for the surgery.
"As soon as I had it done I realised that this is me making a choice not taking it away.
"It was such an absolute relief to be able to stop worrying. Sex is more fun now I'm sterilised. It's awesome.
"Before I'd have fun and then the worry would set in.
"Now it's like kids in a candy store with no price tags who can have whatever they want.
She celebrates their 'no-kids-for-sure' anniversary every November with amusing cakes featuring icing sugar wombs and slogans like 'I ain't afraid of no kids'.
Initially Kara put off sterilisation, believing she was preserving her choice to potentially have children later, but after a pregnancy scare in June 2017 she had both fallopian tubes removed.
She said she didn't want to add any further restrictions to her freedom, and wanted to be able to go on holiday when she wants.
Kara said she also feels love very deeply - for her family and friends - so would be a "total wreck" if she had kids.
Her husband - who also didn't want children - considered getting 'the snip' but Kara wanted to "take it into my own hands".
Kara said: "Growing up in St Albans, a small town in West Virginia, having kids is kind of what everyone does.
"First I waited for that moment where I wanted a kid, and it just never came.
"My friends started getting pregnant and I knew it wasn't for me."