What "reason" should I give for wanting a bisalp if the doctor asks?

I have a primary care appointment in like a week where I'll bring up wanting a bisalp, and I just expect the doctor to immediately ask "why?" since I'm not sexually active and I don't have like a great reason I guess. I just never want children and believe I have the autonomy to make that decision for myself permanently. I've known about the procedure for a few years since my old roommate got it in like 2021 and I've been interested ever since. Given the current state of things in the US, I'm finally saying now is the time.

Should I just lie and say I am sexually active or interested in becoming sexually active soon? Should I just say like, "I've decided this is the right move for me" essentially grey-rocking them?

I'm just worried that if I don't have a good story, like having a risk of high risk of ovarian cancer or having tried every other option for birth control first, they won't let me get it.