Very valid points Wendy....and i was lucky enough to have 2 children (ages 1 and 3) and I am now 40 so though I would love another child I have 2 and don't really need anymore at this time in my life and my husband and I have been going back and forth on the vasectomy....I don't want him to feel forced so I am letting it be his decision. He has been extremely supportive of me so the last thing i want to do is not give him my full support. While on Mirena I can truly say that I was a nut case cause I was all over the place with emotion and pain and just not right at all. And he dealt with all of that. In fact, I asked if he wanted me to look into pills and he said NO, NO more hormones of any type for you lol lol..... but I understand how you feel, wanting a sibling for your child - i was there before my second child close to 40yrs old...tough decision.