We have 4 children under 7 years old. We have not had sex since DC4 was born over a year ago.
I do not get on well with hormonal contraception. As a couple, we did use condoms but with varying success
i.e DC3 and DC4 so while pregnant with DC4 I suggested he go to the GP. He agreed.
But, since then he has not made any effort to make an appointment with the GP or go to the FPC. I've given him the phone numbers, explained he could have a telephone consulation, I've even given him the number of the Marie Stopes clinic at the end of our road 
I've told him I'll be sterilised if I can have it done privately, by keyhole and at a convienient time e.g. school holiday but he would need to take me and even then he whined about, saying he would go himself and still hasn't.
What on earth is going through his normally very rational and considerate mind?