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    Permanent Birth Control: His and Her Options

    What to Expect continued...

    You may feel some discomfort. Pain medication can help. You can go home a few hours later and will be back to normal activities in a few days.

    Other than preventing pregnancy, getting your tubes tied won't change much. Sex won't feel different.

    You'll still get your period every month. Although some women say their periods changed, Dana Stone, MD, an OB/GYN at Lakeside Women's Hospital, says that's a myth. If your periods become irregular or crampier, it's because you're no longer pregnant, breastfeeding, or on birth control.

    "You're not disrupting the hormones," she says. "All you've done is disrupt the pathway for the egg and sperm to meet."

    For Her: Tubal Sterilization

    It's a new option that's also called Essure. Your doctor puts a tiny, spring-like device into your fallopian tubes, which forms scar tissue to permanently plug your tubes. It only takes about 15 minutes. Instead of making a cut, your doctor inserts it through your vagina.

    You may get cramping, pain, bleeding, or spotting. Because it's relatively new, doctors aren't sure about long-term risks. Some women have complications with the coils and end up having surgery to remove them.

    It's more than 99% effective, but not right away. The scars need time to form, so plan on using backup protection for about 3 months.

    Making a Decision

    Which birth control is best for you? It's a personal choice.

    Paul says they went with vasectomy because it was a simpler procedure with fewer risks.

    In the end, it may be the final result that matters most. But you've got to be 100% positive that you don't want to have kids in the future before you make your decision.

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    Reviewed on December 14, 2015

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