Have you ever considered permanent birth control? Sterilization is a permanent form of birth control that is extremely effective at preventing pregnancy. Permanent female contraception is one of the the most common forms of contraception worldwide. There appears to be no impact on sexual function, ovarian reserve, or incidence of breast cancer. But it is difficult to reverse if you change your mind, and it does not protect against STDs.
Pregnant patients who express a desire for permanent contraception prenatally may be candidates for immediate postpartum permanent contraception. A postpartum procedure is usually safe and convenient.
Both men and women can be sterilized. For women, tubal ligation is performed; for men, a vasectomy is performed. Adequate counseling and consent are required before agreeing to it.
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Sources:
[1] UpToDate [2] American College of Obstetricians and Gynecologists – Sterilization for Women and Men