The Essure system is a type of permanent birth control for women. The Essure system includes two small metal and fiber coils that are placed in the fallopian tubes. They're inserted through the vagina, so no incision is required.
After insertion, scar tissue forms around the coils, blocking off the fallopian tubes and preventing sperm from reaching the egg. It takes time for this to happen. So you must use another form of birth control for the first three months. You'll then have an X-ray (hysterosalpingography) to confirm that your fallopian tubes are blocked.
The Essure system doesn't offer protection from sexually transmitted infections (STIs) and 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 isn't appropriate for everyone, however. Your health care provider may discourage you from choosing the Essure system if you:
Less than 1 pregnancy occurs out of 100 women who have had the Essure system successfully implanted. 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. However, because pregnancy after sterilization is rare, the overall risk of ectopic pregnancy is lower than that of the general population.
The Essure system doesn't offer protection from sexually transmitted infections (STIs).
Risks associated with the Essure system include:
You may not be able to have some pelvic electrosurgical procedures, such as some types of endometrial ablation, after having the Essure system implanted. This is because the Essure inserts are metallic and can conduct electricity, possibly resulting in tissue damage.
How you prepare
Before you have the Essure system implanted, your health care provider will likely:
Your health care provider will also talk with you about choosing the right time to do the procedure. He or she will need a clear view of your tubal openings to implant the Essure system. As a result, he or she may recommend that you use a hormonal contraceptive that contains a progestin — such as the combination birth control pill, the minipill or Depo-Provera — for a couple of weeks 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 as an outpatient procedure. The procedure typically takes about 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: 2012-01-12
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