Best contraceptive ??

[K06100]

A 34-year-old G4P3 woman presents to the
clinic with her husband desiring contraception.
She has a past medical history of endometriosis,
for which she was prescribed oral
contraceptive pills as a teenager. Her past surgical
history includes an exploratory laparotomy
with laser ablation and resection of an
endometrioma at the age of 26 years as part of
an infertility work-up. She subsequently delivered
three healthy children with no obstetric
complications. She denies any history of sexually
transmitted disease and is sexually active
with her husband only. She states that she and
her husband do not desire any more children.
Which of the following is the most effective
contraceptive option and will therefore have
the lowest failure rate for this couple?

(A) Bilateral tubal ligation
(B) Bilateral vasectomy
(C) Combination oral contraceptive pill
(D) Diaphragm
(E) Intrauterine device
(F) Male condom
(G) Progestin-only oral contraceptive pill

[Novobiocin]

Which of the following is the most effective
contraceptive option and will therefore have
the lowest failure rate for this couple ?

(B) Bilateral vasectomy