essure: Permanent Birth Control

Tubal Sterilization/Essure Procedure

Tubal sterilization is a procedure used to permanently prevent pregnancy. Traditionally this has been done in the operating using a laparoscope and burning the mid portion of the fallopian tube. This would require at least 2 incisions and general anesthesia with the same risks.


is a new procedure performed in the office without incisions. You do receive IV and oral medications prior to the procedure. With a hysteroscope, I place a tiny coil into both fallopian tubes. Over 3 months the tubes will scar around the coils and result in permanent sterilization. You will need to be on birth control 1 month prior to the procedure to thin your uterine lining so I can see the tubal openings clearly. You will also need to protect against pregnancy until we can confirm your tubes are blocked. To confirm your tubes are blocked you will be sent to the radiology department to have an X-ray study with injection of dye material into the uterus. This procedures takes me on average 7 minutes to perform. You may have an MRI in the future with these coils in place. There is very low risk to the procedure and is 99.5% effective in preventing pregnancy.

Following the Essure procedure you might have some bleeding and cramping that can last 48 hours. This is your fallopian tube reacting to the coil being placed. Over the next 3 months you might have some cramping in the area of the tubes as the tissue is growing around the coils, therefore occluding your tubes.

All tubal sterilization procedures and vasectomies have failure rates. If you should get pregnant after a tubal sterilization then it is most like a tubal pregnancy. This is a condition that would require immediate medical attention and removal of the tube with the pregnancy tissue.