Permanent contraception, ligature des trompes, des déférents, vasectomie

If you know you don't want any more children, you might want to consider a non-reversible contraceptive method (tying of the Fallopian tubes, also known as tubal ligation, or a vasectomy for your partner). These are simple, extremely effective and don't produce unpleasant side effects (no bleeding, pain or change in cholesterol). 

However, they do have their downsides:
> Psychological effects. A vasectomy can make a man feel robbed of his masculinity, while a woman who has had her tubes tied can feel diminished by it. It's also very important to think long and hard before you decide to go for the snip or have your tubes tied. As a rule, those who weigh up the pros and cons properly beforehand are happy with the outcome.
> It isn't always easy to find a doctor who will carry out these procedures, especially if you're young, childless or you only have one or a few children. They might fear you'll regret your decision to have an irreversible operation. 
> This might be stating the obvious, but if your partner has a vasectomy it doesn't stop you from getting pregnant if you have extra-marital sex, and sterilisation doesn't stop the spread of STDs.  
> A vasectomy is only effective 3 months after the operation: it takes this amount of time for the stock of sperm to disappear completely. 

You could also decide on a long-lasting contraceptive such as the implant or coil. The implant can be left in for 3 years, the IUD for up to 10 years and the IUS or Mirena for up to 5 years. And, of course, the Pill is always there if, for whatever reason, other long-term contraceptives don't suit.