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
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.