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They have their downsides, but we think the two types of IUDs for women are the closest thing to Vasalgel in terms of being long-acting and highly effective. You can read more about them at IUD Divas. Condoms plus fertility awareness can work for the super-careful and motivated. And for those finished having children, no-scalpel vasectomy (NSV) by one of the ultra-experienced high-volume providers can be an option. For more about contraceptive options, see Bedsider.org .