You need to remind him that each pregnancy lasts about nine months. Then you went through labor and delivery and may have even required a C-section. If there were any complications with your pregnancy, remind him about that. It is time for him to step up to the plate and do his part, especially since vasectomy is obviously the best choice for permanent birth control.

He may want you to continue on the birth control pill, but you need to let him know that the chances of becoming pregnant again are much higher while taking the pill when compared with vasectomy. If the pill is taken properly, the chances of becoming pregnant are 1 in 1,000. But in the real world, where pills can be missed or not absorbed properly, the risk is 2 in 100. The possibility of pregnancy after vasectomy is only 1 to 2 in 1,000.

Then, there is the cost factor. The birth control pill may cost up to $300.00 per year - whereas vasectomy is a one-time expense of $500.00 to $1,000.00 and is usually covered by insurance. Even if you pay out of pocket for vasectomy, it is less expensive in the long run.

Then there are the medical issues. Let him know that it may not be good for your health to stay onbirth control pills long term. There may be an association with increased risk of breast cancer or cervical cancer. The pill is contraindicated in women with history of migraines, depression, those over 35 years of age who smoke, women with history of hepatitis or documented breast cancer, breast-feeding mothers, and women with history of hypertension or heart disease. Also, the pill leads to an increased risk of clotting and may be associated with stroke or pulmonary embolism (blood clot to lung). While significant adverse events may be rare, they can be devastating. The risk of vasectomy is minor in comparison - as you can see from discussion elsewhere in this site.