hi ,
thanks for choosing hcm,
yes you have 3 kids ,good to go for contraception
problem is which methods gives you less or no side effects
if you ask me to be frank i recommend iud (intra uterine device)
many options are available in iud,talk to your doctor discuss and decide
see to it that you take antibiotic therapy if needed in case of iud insertion,your doctor will takecare of it
yes bcp 's do worsen your
glucose control,and may land you in various troubles
so go for iud
take balanced diet and exercise
have good glucose control
reduce weight
all your problems subsides,after stopping ocps
then if you are good, you can go for
tubal ligation after you get grip on glucose control upon your doctor's advise
hope i answered your query
feel free to contact me for further queries
thank you