i am on methotrexate, and highly recommend it.
i was of the opinion that both drugs work slightly differently, so ......
although both may be suitable, each has different benefits and problems.
i would suggest asking which one is best suited to you.
as for having the snip ....... i was 51 and single when i did
but if you speak to your rhuemy, he could write a letter in support of the operation.
then talk again to your gp, to find a specialist that carries out emergency operations of this type
they would be more open to alternative reasons.
When you're stressed, You eat Ice cream, Cake, Chocolate & Sweets. Why? Because stressed spelled backwards is DESSERTS.