> Picture you tell 400 people not to place their hand on a hot stove top and 380 do.

So this is what happened why you told a patient not to get pregnant and they did anyway? I can see why they refused, as most people don't think a doctor has the right to give that sort of order to them, but merely has the right to warn them of the risks.

> but we did not give her a clear go-ahead too.

That's the most bothersome thing you've posted. That you think that doctors need to give someone a clear go ahead on whether to get pregnant. That getting pregnant is up to you, not them.

If you want patients to actually follow your recommendations, I suggest you change your attitude.