Hi I am going to be 41 this month and a smoker so I am going through that now. I have been on Depo for 8 years and am told now how bad it is. ( Osteoporosis) They say that you should not take it for more than 2 years, yeah thanks for letting me know NOW. I am thinking of the IUD without hormones. I would really like Hubby to get the Vasectomy but he is "thinking about it" Chicken !!! LOL. But being that I have 2 grown children and don't plan on having anymore I am researching having my tubes tied. There really aren't many options. I tried condoms but got pregnant, then miscarried, so I am not willing to go that route again. I have 3 months to decide being that I just had my last shot against my Dr's better judgement. If anyone else can think of other options it would really help.