We were offered Essure and dh was not impressed with the idea of "scar tissue" being the barrier so we are going with a traditional tubal. I have a consult next month...insurance pays 100% for Essure or a traditional tubal so either way we were good there
If we wanted an 11th we'd do IVF with donor eggs anyway because I have DOR and RPL so a tubal won't affect that.
A friend of mine had 3 boys, got a tubal, had a reversal, had 3 girls, and a set of b/b twins...just a fun story
Always think of you Autumn...super excited about #5, so happy for you !!!