What is the actual incidence of lasting complications of the procedure, such as pain or decreased libido or sexual satisfaction? We're at the point of deciding who's getting snipped in our marriage for permanent control, and I'm concerned about the possible side effects if my husband gets it done. He has a lower pain tolerance than I do, and a very high libido, and I'd feel awful if he ended up with pain or decreased satisfaction just to avoid condom use. We've already established that hormonal BC for me has side effects we don't want.