What is the best choice here?

Posted on Wednesday, March 5th, 2008, 4:26 PM

Before I get into Today’s Topic, I want to put some closure to some subjects I addressed earlier. First off, my NST went great this morning. Baby was, once again, happy and reactive. She never fails to amaze me. Or maybe I’m just used to how stubborn and uncooperative Liam was during his NSTs. AND, I got a reprieve on the internal exam! Woo hoo! I don’t think I’ll be as lucky next week, unfortunately. Secondly, Holly came through her little operation with flying colors. I picked up Harry after school and we went and got her. She’s pretty sore and is moving like an old lady, but none the worse for wear, I figure. And hey, no more dogs in heat!

Okay, now on to the Topic at Hand. It is: Birth Control. Now wait. Before you run away, let me just say… well, there really isn’t much I can say that will make you interested in this subject. Except that perhaps I need your advice, experience, input, etc. Maybe that will convince you to stick around and see what I have to say. Maybe? I hope?

So, I STILL don’t know what I should do about birth control after this baby is born. It just seems like there is no “perfect” solution. And see, I have no problem with permanence. Which is probably why most women object to getting their “tubes tied”. Permanence is fine. I know we are done having children. This phase of our lives is about to be put behind us once and for all. The nice thing about a tubal ligation is that I can get it done right when the baby is born. Nothing more to worry about. Done deal. Taken care of. What worries me about getting a tubal ligation is the risk of ectopic pregnancy. I need to do some more research on it, see how likely it is to happen. I just need to know more about the whole thing, period. What can I expect from a tubal? Side effects? Pain? How does it effect periods? So on, and so forth.

The other option, which I was considering just as heavily, was the Mirena IUC. Basically, it’s a hormone-laden IUD. Same difference. It lasts for 5 years and has some hormones in it to suppress pregnancy. I asked my doctor for more information about it today and she handed me a pamphlet. Sadly, the pamphlet has probably only made me more likely to chose another avenue. It’s very effective, that’s true. BUT (there’s always a “but”, isn’t there?), it’s not placed until th 6 weeks postpartum visit. Which, you know, normally no big deal but it would be nice to have it taken care of right off the bat. Also, it has to be replaced every five years. DO NOT DIG THAT. I want something I can do and forget about it. Five years is a lot of time, true. But maintenance isn’t a strong suit of mine. Also, I’m not real crazy about it’s method of preventing pregnancy. Reminds me of when I used to take the Pill and I got skeevish about the fact that it wasn’t necessarily preventing pregnancy so much as preventing a pregnancy from “taking hold”. Morally, emotionally, for me that is kind of a deal-breaker.

I suppose a “tubal” doesn’t prevent pregnancy either. But… I think it’s probably a lot more effective at preventing pregnancy. And we arrive back at the whole ectopic pregnancy thing again. I guess what I want is a tubal that doesn’t increase my chances of an ectopic pregnancy. I guess there’s nothing like that out there, is there? What are my other options, though? DO I have other options?

So I made a nifty little poll. If you could take the poll and/or leave me a comment with your ideas, thoughts, suggestions, etc I would SO TOTALLY appreciate it. Because I’m still at a loss here and I need to be making some choices here pretty darned soon.

[poll=4]

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16 Comments

  1. Gravatar Posted by Liz 03.5.2008, 5:58 pm

    So, what if you have a tubal and Kile has a vasectomy? Then you’ve got your bases covered without added hormones and a virtually impossible risk of ectopic pregnancy.
    and listen, if kile consents to getting snipped… let me know, i’ll pass along our phone number and he can have a little chat with a certain OTHER HUSBAND I KNOW.

    Liz’s last blog post..welcome baby ollie

  2. Gravatar Posted by Stacey 03.5.2008, 6:23 pm

    My doctor objected to Mirena because of the hormones. She prefers a hormone-free IUD. She feels that there are some risks associated with the hormones in Mirena, so why go there. So, instead I chose the pill…how much sense does that make? Anyway, good luck.

    Stacey’s last blog post..Experienced Blogger help needed

  3. Gravatar Posted by Carrisa 03.5.2008, 6:32 pm

    I was going to suggest a vasectomy as well. Or condoms. Because hello? You’re the one who has had to carry around and deliver all these babies. It’s time he stepped up to the plate and took one for the team.

    Carrisa’s last blog post..all good things must come to an end

  4. Gravatar Posted by Andrea Payne 03.5.2008, 7:07 pm

    I had my tubal 10 years ago this month. For us, it was the best decision we ever made. Talk to your doctor about how they will do the tubal. the doctor can cut the tubes and burn the ends (my opinion - less chance of ectopic preg.) or they can just clamp the tubes. What is Kyle’s opinion?

  5. Gravatar Posted by brit 03.5.2008, 8:57 pm

    OMG where is the husband gets snipped and enjoys a three day vacation in the basement with a bottle of vodka option?

    brit’s last blog post..Four. It’s a four letter word.

  6. Gravatar Posted by Michelle 03.6.2008, 5:18 am

    YES!! SNIP SNIP, Kile. Batter up, buddy boy. Your turn. :) That’s the way it’s going down in my house. Paul played, now he has to pay.
    Seriously, my mom had a tubal and had no complications or ectopic pregnancies. And that was almost 32 years ago. Surely, they must have made some improvements since then to prevent that sort of thing. And the whole Mirena thing scares me. I just remember Miss Murphy’s class where she was going through all the birth control options and that one sounded pretty scary to me.

  7. Gravatar Posted by Sarah 03.6.2008, 5:28 am

    vasectomy

  8. Gravatar Posted by araccoon 03.6.2008, 9:59 am

    Vasectomy is the real answer. Wait until your daughter is born and healthy before making a decision. Then when you’re really sure that you will be having no more children, Kile goes in. It’s an in-office procedure, not internal surgery. It’s time men took responsiblility when vasectomy is so much simpler medically than tubal ligation. The worst thing that could happen is an infection which is cured with antibiotics. Voila! Done!

  9. Gravatar Posted by Sara 03.6.2008, 12:31 pm

    I voted other…but it’s because I think this is totally your vote. Since you said you have objections to the pill and the IUC is “similiar” and the permanet part doesn’t bother you…then probably just go for the tubal…though I understand your concerns about eptopic.

    As other posters have commented, a vasectomy would be great, but you’ve got to talk Kile into it of course.

    BTW…I just found your blog a few weeks ago & I LOVE it! Thank you for sharing your life with everyone. You are really inspiring and quite hiliarious!

    Sara’s last blog post..County Supreme Duchess

  10. Gravatar Posted by Lisa 03.6.2008, 1:28 pm

    If you have objections in your heart to the IUC, please don’t pick that. You might regret it later. The only thing I’ve heard about tubals is that they can make periods harder and more painful. But that was 2nd hand info, and you should research it before taking this as fact! I really don’t know what I’d do if I were you. Probably, without researching the options and knowing they’ll ‘be in there anyway’, I’d go with the tubal.

    I know we’ll have a hard time when it comes to that decision for us. I don’t really like ANY of the options at this point. I’m thinking we’ll end up doing FAM and if we have a surprise baby, consider the surprise a blessing. Hubby seems ok with that idea.. because infertility affect him that way. Before IF, he would have never even considered that option. Anyway. GOOD LUCK making a decision.

  11. Gravatar Posted by Jennifer 03.6.2008, 5:40 pm

    Well I voted for the Mirena because I have one and it’s not so bad although the whole 5 year thing stinks. However, I did the Mirena just in case we decided to have more than our 2 kiddos. When we are certain we are done, Tate IS going to get a vasectomy whether he likes it or not.

    Jennifer’s last blog post..Behold Its Beauty

  12. Gravatar Posted by Jaclyn 03.6.2008, 11:14 pm

    Another vote for the big ol’ Snippity Snip Snip!

    I just think the risks of heavier periods, hormone issues, etc. with the tubal isn’t worth it. Buy Kile some booze and tell the boys to be gentle, you too :)

  13. Gravatar Posted by Shawna 03.7.2008, 1:05 pm

    I’m you, like, one pregnancy ago. J and I won’t deliberately be having more kids after the Biscuit is born, but I hate to close the door with such a resounding thud during my scheduled c-section. And like you, our kids are Clomid babies, so the theory is that we won’t get pregnant again by accident. Yeah, that’s what you thought too, wasn’t it?

    You’re in a different boat, however, since you know you don’t want to have another pregnancy. I don’t know what the “right” answer would be for you so I can’t be much help, sorry. Just do your research I guess…

  14. Gravatar Posted by Michele 03.7.2008, 1:45 pm

    Personally, I am getting a tubal once these girls are out. We’re done done done - three times over. Heh

    After Abby was born I had the Mirena put in at my 6 week check-up. I loved that thing (other than putting it in, that part hurt a bit) especially with the no periods thing. Once we were ready to start trying again out it came. If we were done having kids after having Abby I wouldn’t have gone the Mirena route - I would’ve gone straight for the tubal.

    The big V hasn’t been a topic for discussion in this house. Heck if I know why - probably because it’s easier for us to do an IVF with my tubes tied than with trying to reverse a vesectomy if, god forbid, we needed to have another child. Lord knows my life needs some more made for tv movie madness in it. ;)

    Good luck with your choice. There isn’t isn’t just one right answer, it’s whatever works for you as the right thing to do.

    Michele’s last blog post..And the results are ?

  15. Gravatar Posted by Shelley 03.7.2008, 1:52 pm

    I don’t know what other women’s experience has been, I can only speak for myself. I had a tubal after my third C-section at the age of 35. That was 5 1/2 years ago. My periods since then have been a little lighter. Whereas they used to be 6-7 days, they’re now 4-5 days. Less cramping, also. This is just me though…I’m sure it’s different for everyone.

    Shelley’s last blog post..Fun Movie Meme

  16. Gravatar Posted by RoseAnn 03.7.2008, 5:06 pm

    Have you considered Essure? http://www.essure.com/

    It is basically another version of tubal ligation. The website mentions a “theoretical increased risk of ectopic pregnancy” but I don’t know how the actual risk compares to traditional TL.

    I’m fortunate. My husband was snipped 3 years ago and we couldn’t be happier.