The Essure system is a type of permanent birth control for women. During insertion of the Essure system, your health care provider threads small metal and fiber coils through your vagina and cervix, into your uterus and fallopian tubes. The Essure system blocks the fallopian tubes and causes scar tissue to form around the coils, preventing sperm from reaching the egg. The Essure system doesn't affect your menstrual cycle.
The Essure system takes three months to become effective in preventing pregnancy. Essure doesn't offer protection from sexually transmitted infections (STIs). The Essure system isn't reversible.
The Essure system is a type of permanent birth control that blocks the fallopian tubes with small metal and fiber coils. Scar tissue that develops around the coils prevents sperm from reaching the ...
Why it's done
The Essure system is a type of female sterilization. Benefits of the Essure system include:
The Essure system is also an option for women who can't have a tubal ligation for permanent birth control due to internal abdominal scarring or other health problems.
The Essure system isn't appropriate for everyone, however. Your health care provider may discourage implantation of the Essure system if:
Risks associated with the Essure system include:
You may not be able to have further pelvic electrosurgical procedures, such as some types of endometrial ablation, after having the Essure system implanted.
The Essure system doesn't offer protection from sexually transmitted infections (STIs).
In the first year after implantation of the Essure system, an estimated 1 out of 100 women will get pregnant. If you do conceive after having the Essure system implanted, there's a higher chance that the pregnancy will be ectopic — when fertilization happens outside the uterus, usually in a fallopian tube.
How you prepare
Before you have the Essure system implanted your health care provider will likely:
Your health care provider will need a clear view of your tubal openings to implant the Essure system. As a result, he or she may recommend using a hormonal contraceptive that contains progestin — such as the combination birth control pill, the minipill or Depo-Provera — to thin the lining of your uterus (endometrium). If you don't want to use a hormonal contraceptive, your health care provider will schedule the procedure shortly after your period.
What you can expect
The Essure system is usually implanted with a hysteroscope — a thin tube equipped with a camera lens — as an outpatient procedure. The procedure typically takes 30 minutes or less. You may be given medication before the procedure to minimize spasm of your fallopian tubes.
During the procedure
After the procedure
Contact your health care provider immediately if:
During the three months following the procedure, you must use another method of contraception. After three months, you will have an X-ray (hysterosalpingography) or an ultrasound to confirm the correct placement of the Essure system and verify that your fallopian tubes are blocked. If the procedure is successful, you can stop using other forms of birth control at this point.
If you think you're pregnant at any time after the procedure, contact your health care provider immediately.
The Essure system isn't reversible. In addition, because a portion of the coil protrudes into the uterine cavity, the Essure system may interfere with the success of in vitro fertilization (IVF).
The Essure system is implanted in both of the fallopian tubes through the cervix to prevent sperm from reaching the egg. No incision is necessary. ...
Last Updated: 2010-01-12
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