options are
contacts for distance, near specs over the top as required
contacts, mono vision, one eye distance, the other for near....this is being done less often as it can bugger up your 3d vision
contacts ...varifocal types each lens covers distance and reading and the brain picks up the one it needs
specs: pair of distance & another for reading
specs: bifocals
specs: varifocals
I have tried all the contact lens options, I am very shortsighted, with lots of astigmatism, my favourite solution is contacts (distance only) plus near specs
Couldn't cope with driving and mono vision, driving home in the dark, in the rain, with one eye closed is a nightmare I do not care to repeat
Varifocal lenses....because of my astigmatism there are issues, but on the whole indoors and general life was fine, but driving was a fecking nightmare. There are some new lenses available at some $pec$avers which were absolutely excellent for close and driving, but I could only wear them for about six hours without wanting to rip out my eyes and run them under the tap....but that was just me, I do know people are getting on with them, and the quality of vision was the best so far.
Oddly I do not struggle at all with near when wearing my specs so I am still knocking about with my normal everyday specs, but will probably go for varis at some point
It is well worth persevering with the varifocal contact lens option, there are LOADS of types and styles about, if your normal lenses are not toric it's very likely your astigmatism is not complex and that will widen your choices. It also depends on how you like your vision to be, I cannot bear any hint of a blur so tend to err on the over corrected side, and is also why I have toric lenses, less critical nitpicky and neurotic types often don't have any issues with their vision at all when using varifocal or monovision