Well, my wife has been on various forms of the pill ever since I met her (and in fact since her mid-teens), except for those times while we were either
A) In the leadup to trying to get pregnant
B) Trying to get pregnant (which we're remarkably successful at - I have only missed that target once)
C) She was breastfeeding.
After the second one she tried Implanon (the thing they jam in the arm which they say lasts three years). We continued to use raincoats in order to prevent mark's situation above (silly boy - 96% effective means 4% completely friggin INeffective).
The Implanon took her from slightly grumpy to outright-batshit-Hitler crazy during PMT week, so we agreed it was time to ditch that shit and move into a more easily handled situation ie. my nuts.
I had the operation back in January, and its pretty much like Scarfy says. Here's my experience:
1) You go in with the cute nurse and she asks you all the questions and makes sure you want nothing more to do with spawning.
2) You sit around and wait for the doc, who grabs you by the nuts and makes sure your each of your vas are in order and ready to be messed with.
3) Go into the op room, pants off (you can keep your socks on - I wanted to wear long socks that said "Don't fuck it up doc" but was convinced him laughing would be bad for precision).
4) Ugly nurse shaves the front of the bag and a bit of the surrounding forest
5) They seal off the area with a surgical sheet and go to work.
The initial pain of the local is just like having your nuts squeezed by a French forward but you get past that once the local kicks in to each tube. The only disconcerting part after that is the smell when they start cauterizing stuff, but you can't feel it.
The recovery was actually the worst bit, but manageable with pain relief. Having kids around the house while that is going on is probably not the best thing as they tend to jump on you... :'(
I got a small localised infection in the right vas which was easily treated by oral antibiotics. And I kind of like the shaved look so I'm keeping on with that
I did the chuck-into-a-jar test the other day and am awaiting the results. Hopefully they arrive on Friday, which is Mrs TA's birthday, and for the first time in a long time she might also be in the mood on that birthday 8)