Are there any other forms of long-acting contraception other than sterilisation?

I am 33 years old. I have 4 children and we don’t want any more. My husband is not keen on a vasectomy so I was considering sterilisation. Are there any other options I should consider?

One of the options you might consider is the hormonal intrauterine system ( IUS) . It is a good choice for those who have finished their family. It is a more effective contraceptive than tubal ligation (sterilisation) with a failure rate of 0.2%. You are relatively young so it is a less final option in case you change your mind. When it is removed your fertility will return to normal straightaway. It can be easily fitted by your doctor in the clinic without the need for a general anaesthetic or hospital admission. The IUS remains effective for up to 5 years, and if you are happy with it you can replace it with another after that time. As with all devices some people may experience some side effects – talk to your doctor who will advise you.