Sterilization is an option if you do not want biological children in the future, or are finished with having children. You may choose surgery (sterilization) as a permanent procedure for birth control without hormones. Ten years ago, that would have ruled out most of her options, but not today. This is the ultimate in long term birth control. Included in the list is the new vaginal gel called Phexxi, which is a much-improved spermicide. From the WebMD Archives Nov. 5, 2002 -- … Burnside, now 36, had hysteroscopic sterilization in April 2008 and has been very pleased with the permanent birth control. The best thing is just to struggle through your periods. Fewer than 1 out of 100 women will get pregnant in the first year after the procedure. It includes barrier methods, such as condoms, long-term options… Sterilization works by preventing an egg from meeting up with sperm. If you’ve made the decision that having kids isn’t for you, or if you’ve had your fill of reproducing, sterilization is an important option to talk about with your health care provider. Some doctors will only perform sterilization if a woman has already had at least one child or has reached a certain age. The most effective way to control your periods is through birth control, the most effective way to end your periods is through a hysterectomy. Non-hormonal birth control aims to prevent pregnancy without changing the balance of hormones in the body. ; Thus, when choosing a sterilization method, you should be certain you do not desire future … When it comes to the most effective non-hormonal birth control method, the copper IUD wins, and permanent procedures of birth control like sterilization surgery. This is considered a permanent form of birth control that usually requires a surgical procedure. Then, you have your barrier methods, like the diaphragm and male or female condoms. Permanent birth control is the second most common form of birth control in the United States, according to the Centers for Disease Control and Prevention (CDC), but a recent survey conducted by Harris Interactive on behalf of HealthyWomen found that a majority of women aren't aware of all their options for permanent birth control. Depending upon the procedure, the sterilization may or may not require an incision. Sterilization is effective without leading to the same side effects as other methods, such as birth control pills, the implant, or even the intrauterine device (IUD). Tubal ligation is a safe and effective form of permanent birth control. The Essure device is a new, permanent birth control method that does not require an incision or general anesthesia. Sterilization is considered a permanent method of birth control that a man or woman may choose. ; Although sterilization, or a tubal ligation (), for women and vasectomy for men can sometimes be reversed, the surgery is much more complicated than the original procedure and may not be successful. Tubal ligation or tubal implants for women, and vasectomy for men are permanent methods of birth control. Nearly a third of American women who use contraception rely on sterilization for contraception. But it doesn't work for everyone. The younger you are at the time it's done, the more likely it is to fail. 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