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I don't think this is off-topic... virtually all of my wife's various "down there" infections went away when we switched to coconut oil for lube. No more UTIs. No more yeast infections. The difference has been amazing. Regarding condoms, I actually encouraged that for a while because she thought the messiness of sex was a big issue for her. But she say's they're "too scratchy." Turns out they're actually a trigger from stuff in her past, but who knows, OP's issues could have some other additional basis as well.
Regarding tubal ligation vs vasectomy, I think it also depends upon the state of the marriage. If things aren't wonderful, the guy may have second thoughts about something that could come back to bite him in a later marriage. This was a very distinct issue for me. The woman may be "done" with kids, now and forever. Regardless of her feelings for the future of the marriage. The guy could have other ideas. Or vice versa.
Regarding tubal ligation vs vasectomy, I think it also depends upon the state of the marriage. If things aren't wonderful, the guy may have second thoughts about something that could come back to bite him in a later marriage. This was a very distinct issue for me. The woman may be "done" with kids, now and forever. Regardless of her feelings for the future of the marriage. The guy could have other ideas. Or vice versa.