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Essure Procedures

Essure is a procedure that results in permanent birth control or sterility. The first non-surgical method of sterilization to be approved by the FDA, the process works by the insertion of small metal coils into the fallopian tubes. After time, the coils cause scar tissue to grow in the fallopian tubes, which acts as a natural barricade to sperm and prevents pregnancy.

  1. The Procedure

    • First you should have an initial gynecological exam performed by a gynecologist trained in performing the Essure procedure. According to the MayoClinic.com website, the doctor will insert an instrument called a hysteroscope into your vaginal opening and into your uterus. The hysteroscope is attached to a video monitor and will allow the doctor to view your cervix (the opening to your uterus), uterus, and the fallopian tubes where the coils will be placed. Using a catheter, the doctor will use the hysteroscope to place the coils inside each of your fallopian tubes. The catheters and hysteroscope will be removed and the initial part of the procedure is done. According to Essure.com, the entire procedure takes around thirteen minutes. Though not required, some doctors will administer a local anesthetic before beginning the procedure.

    Aftercare

    • The next three months after the procedure are incredibly important, as this is when the scar tissue will form in your fallopian tubes. Continue using your preferred form of birth control until the follow-up exam if you are sexually active during this time. After three months, you will return to your gynecologist who will examine your vagina, cervix, uterus, and fallopian tubes to ensure that the Essure coils are still in place and that the scar tissue has completely filled the tubes. With a positive follow up exam, your doctor will confirm that the procedure was successful.

    Side Effects and Risks

    • The Essure procedure is a permanent form of birth control, which means that once you have the procedure, you cannot reverse it. Therefore, if you have any doubts that you want to have children, or if you've already given birth and perhaps want to have another child, you should not undertake the Essure procedure. In terms of the method itself, Essure.com reports that known side effects include: tearing, movement, or other problem of the micro-insert in the fallopian tube, risk of ectopic fertilization (when the egg becomes fertilized in the fallopian tube), vaginal bleeding and cramps, and nausea or vomiting. All medical procedures include some amount of risk, so if you have any doubts or uncertainties, put yourself first and speak honestly with your doctor.

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