For men and women who do not wish to have children, or who are done having children, sterilization is an effective, permanent, and hormone-free birth control option. Indeed, these procedures can be challenging to reverse. The male sterilization procedure is called a vasectomy, and female sterilization is called a tubal ligation.
If you are looking for reliable birth control for perimenopause, meet with your doctor to discuss the best options for you and your partner. You can ask questions ranging from the benefits of non-hormonal birth control in perimenopause to using a hormonal birth control patch for perimenopause pregnancy prevention. Whereas non-hormonal options include barrier methods, spermicides, sterilization, and ParaGuard, hormonal options include implants, patches, pills, IUDs, and vaginal rings.