After reading through "A T Cell Army against SARS-CoV-2" and not getting much out of it, I started looking for a primer on how viruses infect cells. But without a strong background in biology, even that was somewhat out of reach for me. This article started to frame the idea of DNA as a DSL for generating molecules, which put me on better footing.
I think they're saying that you may have thrown out the baby with the bathwater. If your conclusion horrifies you—doesn't resemble what you were optimizing for—you may be optimizing for the wrong thing. Rationality isn't broken; revisit your optimization criteria. See the paperclip optimizer, the smiles optimizer, etc.
It's my understanding that the hormone-releasing implants for the women are birth control - remove it and you can get pregnant again in a month or two. I see this is an arm implant, not an IUD as a couple of friends have used (and subsequently removed and had a beautiful healthy daughter), so I may be incorrect.
But yes, the vasectomy offered to the men is far more permanent than "birth control".
India pioneered a "reversible vasectomy" [1]. Basically they gum up the ducts from the testes. It does not have to be irreversible.
The thing to watch is whether knowing they have become, at least temporarily, infertile, will lead them to unsafe sex practices resulting in more venereal disease.
Internet access, especially to Wikipedia, did wonders for me whenever the lecture turned to something I was already familiar with. That alone kept me from getting distracted and frustrated as I would in classes whose professors prohibited laptop use.
At the risk of sounding obvious: you've identified that your job is the source of the stress and unhappiness. That's certainly not an irrelevant factor, as my parent and sibling comments claim. Make the sale, maybe move to a cheaper apartment, use your newfoud buckets of money to work in your community garden for a month. See how you feel then.