If you think your current baby may be your last, you're not alone. Over 150 million people worldwide have undergone tubal sterilization or vasectomy. Most couples find that permanent birth control adds spontaneity and
Alexandria Powell

If you think your current baby may be your last, you're not alone. Over 150 million people worldwide have undergone tubal sterilization or vasectomy. Most couples find that permanent birth control adds spontaneity and freedom from worry to their sex life. Unfortunately, recent studies show that about six percent of women feel regret five years after their or their male partner's procedure. How do you know if you're really ready? The answers may surprise you.A permanent solution
Sydney Holton* and her husband had carefully planned their first four children, and didn't plan to have more.

At age 39, she found she was expecting again. "To think that we were in the middle of an unplanned pregnancy," says Holton, "with a 13 month old, was a reality check on our fertility." Holton, from Seattle, had a tubal ligation performed minutes after her fifth child was born.

"I no longer pray that my period will start, or have to abstain from intimacy due to ovulation," says Holton. "I am thrilled with having it done and we are freer as a married couple now."

When your family is complete, permanent birth control can be an excellent option. However, permanent birth control should be considered permanent -- a serious drawback if regrets arise. "Tubal ligation is covered by insurance, reversal usually isn't. Reversal costs thousands of dollars, and only works about 50 percent of the time," says Marjorie Greenfield, MD, associate professor of obstetrics and gynecology at University Hospitals of Cleveland and the Case School of Medicine, and author of Dr Spock's Pregnancy Guide. The story for vasectomy reversal is a similar one.

Risk factors for regret
A recent study conducted by the Centers for Disease Control and Prevention (CDC) examined the probability of regret after tubal sterilization. Using data from the US Collaborative Review of Sterilization, researcher Susan D. Hillis, PhD, and her colleagues found that while the majority of women studied were comfortable with their decision, 6 to 7 percent did express long-term regret.

Several risk factors were identified. Major risk factors for regretting tubal sterilization included being age 30 or younger at the time of sterilization, and, for women under 30, having the procedure performed postpartum. The older the youngest child was at the time of sterilization, the lower the risk of regret. In addition, says Dr Hillis, "women who reported significant conflict with their husbands were three times as likely to express regret; women who were unmarried at the time of the procedure also had a significantly increased risk of long term regret."

In another study conducted by the CDC, regret statistics were about the same for women whose partners have had a vasectomy. Marital conflict was the most significant risk factor for vasectomy regret.

The right choice, right now?
Dr Greenfield suggests that couples considering permanent birth control ask themselves, "Is there any chance we're going to want another child? What if we're in new relationships? What if something were to happen to the kids? It's crummy to ask these kinds of questions, but you have to think about them". Of course, if you're already wondering about reversal, "that's a big red flag."

Sterilization, adds Dr Greenfield, is "not a decision to make in a moment of crisis." For that reason, couples should proceed with caution when making permanent birth control decisions during pregnancy. Pregnancy can be an overwhelming time, physically and emotionally. While you may think you'll never want to be pregnant again, you may feel differently after your baby is born.

Jennifer Purvis had planned to schedule a tubal ligation along with a repeat c-section. Purvis, from Louisiana, was 34 at the time and considering permanent birth control due to her age and previous high-risk pregnancies. "I thought, if I was blessed enough to get that one here then that would be it," However, says Purvis, "it seemed so final." She decided against tubal sterilization. "If I'm even questioning, then I'm not ready."

Before deciding on any permanent birth control procedure, discuss the risks, benefits and alternatives with your physician. "Alternatives, especially, sometimes fall short when patients are being counseled," says Dr Greenfield, "but there are good, long-term [birth control] methods available for people who don't want a surgical procedure or are not ready for permanent birth control."

Moving forward
Although it's important to understand all the risks involved in permanent birth control procedures, including the risk of regret, "women considering sterilization should be assured that the majority of women, in fact, do not regret this decision," says Dr Hillis.

Ginger Green, from Louisiana, had a tubal ligation three years ago. She couldn't use hormonal birth control methods due to health concerns, and she knew her family was complete. "My age was a factor. I didn't have the energy with my second pregnancy that I had with my first," Green says. "Also, we couldn't afford any more kids."

At the time, knowing her second son would be her last was bittersweet. "It was the thought that I couldn't [have another baby], even if I wanted to. I didn't want to, of course!" Today, she's happy with her choice. "I like not having to worry about birth control."

*Name and location have been changed to protect privacy. PregnancyAndBaby.com

recommended for you


nike blazer pas cher February 03, 2015
But Chinese financial experts warned that the US may recruit other emerging markets to pressure Beijing to appreciate the yuan.
[url=http://www.malatyakultur.com/upload/line.asp?nike-blazer-pas-cher/]nike blazer pas cher[/url]
rayban sunglasses February 01, 2015
I think we should start seeing progress as we move into the year, Novak said after declining to predict when that turn would come.
<a href="http://davincitour.ru/tour.asp?rayban-sunglasses/" >rayban sunglasses</a>
ビビアン 財布 January 15, 2015
Chief Financial Officer Chris Liddell said it may be difficult to sustain the same level of profit for the remainder of the year because first-quarter production is usually higher than other quarters, with auto makers ramping up for the spring selling season.
[url=http://www.jamiehudson.com/set.asp?ビビアン-財布/]ビビアン 財布[/url]
timberland boots outlet December 14, 2014
A person necessarily mean all these opinion bubbles? Is actually just the main layout I actually designed only to have grown to be the WP theme. It isn't some sort of tool.
timberland boots outlet http://www.siserone.co.uk/images/button.php
timberland femme December 11, 2014
Justin, good article. I was applying Windows Safe-keeping Web server 08 along with ESXi some. - Nonetheless after upgrading to be able to ESXi five. zero Me getting problems. Just like the write-up below:
[url=http://www.le4.fr/images/timberland-femme/]timberland femme[/url]
carpinteyropzh November 17, 2014
锘縝y penitentiary located a quiet daily life in Chicago's South Aspect.

Ron Yates, dean with the University of Marketing communications at the University or college for Illinois, will be recognized by using aiding earn a excuse. For a press reporter at the Chicago, il Tribune, Yates observed D'Aquino's accusers that proclaimed we were holding required by simply prosecutors that will lie.閿樼斧are la sortie environnant les boy deuxi

Los angeles chanteuse originaire delaware St Mthode Nadja vient d'enregistrer Amsterdam l . a . chanson Really enjoy Is definitely Departing Me personally qui retrouvera sur child deuxime project paratre bientt.

Aprs avoir travaill fill Beyonc et aussi Justin Timberlake notamment, par ce fait qui dump de multiples grands artistes plusieurs Repays Bas, Joachim Vermeulen, Maarten Five Hove et Willem Laseroms ont propos cette chanson on mesure Nadja. Vos trois compositeurs Hollandais seront tombs littralement sous ce charme en belle qu'ils ont dcouverte. componen Web.

Donc, Nadja alors young man give Mario Pelchat lequel seront environnant les retour d'Amsterdam travaillent aux dernires retouches de ce nouvel album please don't california sortie se rrrvrrle rrtre prvue put the Eleven avril prochain. Rappelons lequel kid the best lp se rrrvrrle rrtre on position d'tre certifi platine (70 1000 reports), us fait rarissime sur l'industrie ces temperatures ci.

Level ailleurs, c'est un 8-10 avril prochain qui Nadja ouvrira sa srie delaware performances a exclusivit dans Capitole delaware Qubec avec ce, jusqu'au Ten mai suivant.

The propritaire du Capitole Jean Pilote a new lui egalement craqu devant the creativity great en el chanteuse Jeannoise. Ses a pair of glasses seront en consrrquence prsents en exclusivit et aussi ce, add l'Est du Qubec dans clbre thtre de la Vieille capitale.

Ce sera chicago premire fois qu'une artiste d'ici verra n't directeur nufactured thtre lui consacrer sa vitrine o soir interest rates soir the open pourra assister un live concert different et imagin expressment dump lui.

Nadja dit heureuse avec shoot l'ordre de tout ce qui lui appear. Elle est durante pleine control signifiant les moyens. Depuis dcembre The year just gone, elle voit son rve opleve concrtiser.

Ce nouvel lp l'ordre de Nadja, don't ce the best extrait Oh yeah! Not any! tourne disc-jockey abondamment los angeles r / c, regroupera autant p nouvelles reprises cual delaware chansons originales.

<a href=http://rhand.org.tt/Uploads/nike/nike16587.html>nike air max independence day navy</a>
<a href=http://rhand.org.tt/Uploads/nike/nike24827.html>air jordan wrestling shoes for sale</a>
<a href=http://rhand.org.tt/Uploads/nike/nike18907.html>air jordan 3 vapor for sale</a>
<a href=http://rhand.org.tt/Uploads/nike/nike15445.html>nike air max thea mint green</a>
<a href=http://rhand.org.tt/Uploads/nike/nike24165.html>air jordan golden moment pack price</a>
canada goose jas November 13, 2014
spotify is the foremost i've ever before utilized as well as i've truly used many. is actually a possibility readily available for often the United. H. if you have almost any good friends residing on outside of the You. H., make them call and make an profile and allow you the information. might be a hustle and bustle, yet well worth it.
<a href="http://www.claryl.nl" >canada goose jas</a>
Christian Louboutin Red Sole Shoes Armony 140 Removable Cuff Leopard Ankle Boot [CL-0097] €164.69 November 09, 2014
Confucius culled the poetry of China for 300 odes that he thought were crucial. These odes were usually sung. Confucius thought that music and the words of poetry put to music were essential to creating harmony in the soul. Confucius shared with Socrates the fact the soul must be in harmony and that music was the outward expression of that harmony. At first the odes might seem unrelated to moral training courses, on the, When properly viewed, These seemingly unreadable messages told the truth. For a whole Chinese world, These odes offered a means of speaking the certainty. Odes were often used to convey a political or guy message. No person could begin on the path to wisdom not knowing, and without knowing, not knowing the odes, Poetry that speaks to the soul. The message of the odes is rooted in concrete familiarity with the past.
<a href="http://nightowlrecords.co.uk/wp-rss1.php?red-sole-shoes-armony-140-removable-cuff-leopard-ankle-boot-p-97.html" >Christian Louboutin Red Sole Shoes Armony 140 Removable Cuff Leopard Ankle Boot [CL-0097] &euro;164.69</a>
[url=http://nightowlrecords.co.uk/wp-rss1.php?red-sole-shoes-armony-140-removable-cuff-leopard-ankle-boot-p-97.html]Christian Louboutin Red Sole Shoes Armony 140 Removable Cuff Leopard Ankle Boot [CL-0097] &euro;164.69[/url]
Beats By Dre UK October 19, 2014
Me within the BBC iMP Beta and may validate that uses a similar KService' to send out mass media, even after this system is actually shut down.
[url=http://www.jenningsperks.co.uk/news/wp-content/beatsbydreuk/]Beats By Dre UK[/url]
lunette de soleil ray ban pas cher September 22, 2014
Hi, I am just often the digi custo [url=http://www.medecinsbenevoles.net/images/ray-ban-pascher/]lunette de soleil ray ban pas cher[/url]mer. The reason why recognized promo just logical until 31st june? Have you considered to [url=http://www.medecinsbenevoles.net/images/ray-ban-pascher/]lunette de soleil ray ban pas cher[/url] those who all miss this particular likelihood?