Tubal ligation: If by permanent, you mean irreversible, having a minor surgical procedure to prevent eggs from travelling into your uterus would be the best option. You won't need pills, or have foreign bodies in your uterus or under your skin, and you will still produce female hormones normally. Of course, you won't ever be able to get pregnant, even if you change your mind.
Answered 11/26/2016
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