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@dvz If there is a test you can get/afford on an embryo for Alzheimer's, then I'd say go ahead. Otherwise, I wouldn't chance it. Although, over-riding that, your daughter is only 6 months old. Give yourself a bit of a rest before diving back into the thick of it all!

@alsdpa Best case scenario, running around after a new baby with a 6 year old in tow. Worst case scenario, your wife dies and you have to bring up two youngsters on your own. Personally, I wouldn't gamble with my wife's life.

@jackissaved I doubt very much that doctors will give you a hysterectomy just for sterilisation. They'll be far more likely to give you a bilateral salpingectomy... That's if you can convince them. Unfortunately, doctors still very much seem to think that women don't know what they want...

@tiramisu Given you will be a mother forever, I SLIGHTLY lean towards sticking with one. Your husband being complete with the 3 of you, makes me take a much bigger step toward one-and-done. A whole new human being, as you already know, is a huge responsibility, and like sex, unless both...

@jewels4christ Be kind to yourself. Give yourself enough time to feel better about it and then come to a decision.

@spiritlead2013 Perhaps a starting point is to go to the doctors to get a fertility reading. That might give you some indication as to whether you even have the possibility of a future with another child, or not.

@kosherinchrist I was reading through and got to the comment about your health. So often, mothers put their health last. However, your current family needs you! I strongly encourage you to explore other options of mothering. Maybe you could sponsor a child in Africa, or foster someone in...

@dof7 To be honest, this comes across a little as 'sunk cost fallacy'. Yes, you've invested time, energy, finances, emotion - all of that and more. However, your statement, 'we would be content with just one and wouldn't try for another' says everything to me. You're content. Period.

@cassiabr Given your outlook on children, definitely have the vasectomy. More children increases the stress, and if you find two more than enough, 3 will be miserable for everyone - and particularly for the kids.

@chisel I tend to be the type who thinks, 'Why rock the boat if things are already working smoothly?'. I wish to acknowledge all your concerns here, as they are all valid. Your husband has financial concerns, and finances are a common source of stress... and divorce. If things turn out...

@rainbow42 Bear in mind the recommendation of 18 months from the World Health Organisation is its minimum, presumably under perfect circumstances. It's a while since I read it, but memory says up to 5 years from a full vaginal birth (which yours isn't).

@clare5890 Just going by No. 3, I wouldn't do it. It's great that you're recovering, but PND can take years to fully return to full health. And it can absolutely take over your life completely, to the detriment of everyone and everything else.

@reynaldo I'd definitely recommend a slightly bigger gap. There are fewer tantrums and they're more likely to be helpful (fetching a nappy or wet-wipes etc) and less likely to be jealous at an older age.

@peter_p I know my brain is more mathematical than emotional, which helps me in decision making, and I hope you too, although sometimes I can come across as cold, although that is never my intention. The definites that you've put down are that your husband is burnt out, and that you are no...