So, even though I'm about 18 months from my 40th birthday, I feel ready to make a longer term decision. So! I met with an OB/gyn this morning to talk about my options. I went in with Essure as my likely preferred option. It's a minimally invasive procedure with good outcomes. The other permanent option is tubal ligation, which is a real surgery.
While I was talking to the doctor, she suggested I consider the Mirena IUD, primarily because the low dose of hormones could alleviate some of my endometriosis symptoms, and most women on the Mirena don't have periods, which is obviously appealing. But it's also appealing to know that pregnancy is totally off the table. So, I'm thinking about it.
I'm interested to hear thoughts and helpful questions, if you have any, but it will make me angry to hear anything along the lines of "But what if you change your mind?" or "Don't you want to keep your options open?", so please skip those!