I was "denied" sterilisation first attempt and talked into IUD, but the second attempt five years later I got one. They tried to sell me on IUD again but a thing I learned during that time was to stand up for myself and insist on receiving the care and treatments I want, so it's possible I could have insisted on it the first time around as well.
It's also possible I had an easier time getting through to them simply because I had listened to their advice the first time around and still wasn't content with it after five years, and I had turned over 26 years old.
A hormonal IUD or implant in your arm can help with gender dysphoria in two ways: prevent pregnancy AND prevent menstruation (if one doesn't work for bleeding the other likely will).
The IUD can be rough to put in and remove as its a gynecological, which can be both dysphoric and very painful (if you can get sedated or nitrous gas for it I highly recommend it!), but it only needs replacing every five years (can be removed/replaced during sterilisation or similar surgeries) and you shouldn't feel it's there at all, so no dysphoria trigger once it's in.
The arm implant is easier to insert as it's a doctor visit with no nudity required, but with a BIG fucking needle, and you need to replace it more frequently, and you can see it move and feel where it is when you touch the skin on your bicep. It's still not directly connected to genitalia so hopefully wouldn't trigger dysphoria every time you notice it, but that's a personal case.
It may be possible you can insist and get sterilised even at a young age. But if you are not already on hormones that prevent menstruation, the IUD or implant might even be a better option for you as it does two thing at once, and you don't have to remember a daily pill. I went back to IUD some years after sterilisation just to get rid of my periods, as sterilisation doesn't affect menstruation at all.
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