Permanent Methods

Before You Make the Essure Procedure Decision

March 17, 2018

Deciding whether it’s time to seek permanent birth control is a significant life decision. It may be helpful to understand that voluntary sterilization has become the most popular birth control methods in the US. Whereas men just have the option of a vasectomy for permanent sterilization, girls can select between a tubal ligation, a surgery that shuts off a woman’s fallopian tubes (with your tubes tied), or a non-surgical permanent birth control process, like Essure.

If you have already determined that permanent sterilization is your way to go, another thing to decide is if the Essure procedure could possibly be the ideal choice for you.


The Essure procedure offers girls a permanent birth control solution without hormones, cuttingedge, or the dangers of tubal ligation. FDA-approved in 2002, the Essure procedure requires no incisions. Two small metal springs (called micro-inserts) are placed in each fallopian tube through the cervix. In about three weeks, the spiral implants will cause scar tissue to grow around them. The scar tissue will permanently block the tubes. The Essure procedure is done without anesthesia or surgery and requires between 10-30 minutes. It’s normally done in a doctor’s office and does not require an overnight stay.

Essure vs. Tubal Ligation

A tubal ligation requires surgery, whereas Essure does not. With Essure, a small insert is set into each fallopian tube through the vagina, cervix, and uterus.

Tubal ligation is generally performed as a laparoscopic procedure under anesthesia. A small incision, about half an inch , is manufactured in or below the belly button (occasionally, a second tiny cut may be made above the pubic hairline). Gas is used to enlarge the abdomen, and the fallopian tubes are blocked with either rings, pins, clips, and cutting off part of the tube, or sealing them closed with an electrical current.

Stitches or staples are then utilized to close the incisions. 

When making your decision about Essure, it’s important to point out that the Essure procedure is not reversible. Even though it can be possible to reverse a tubal ligation, the Essure procedure cannot be reversed. Essure is literally a permanent birth control system. The Essure procedure may be right for you if you are certain you don’t want any more kids and you want a female sterilization method that does not require surgery or anesthesia.

Effectiveness of Essure

The effectiveness of your contraception is probably an important consideration on your birth control choice. Three months after your Essure procedure, your doctor will perform a hysterosalpingogram (HSG) test to confirm that the micro-inserts are properly placed and the fallopian tubes are totally blocked. You’ll have to use a backup birth control method in this time period.

When the Essure procedure has been supported from the HSG, Essure has been found to be 99.95% at 1 year. It’s 99.83% successful based on 5 decades of clinical data and is the only birth control system with zero pregnancies in clinical trials.​

Questions to Ask Yourself When Selecting

  • Are you positive you don’t want any more children?
  • Do you prefer to quit using hormonal contraception?
  • Would you desire a birth control method which allows for spontaneity in your sexual relationship?
  • Are you concerned about anesthesia?
  • Can you feel comfortable with a permanent birth control method?
  • Are you tired of worrying about unplanned pregnancy?
  • Would you want my tubes tied but do not want to have the operation and incisions associated with typical tubal ligation processes?

Whenever the Procedure Might Not Be the Right Decision

If you may wish to have kids in the future, the Essure procedure might not be perfect for you. It’s also advisable to not experience the Essure procedure if you are pregnant, have been pregnant during the past 6 weeks, and/or have an active or recent pelvic infection.

Essure might also not be the right option if you’re feeling pressured by somebody else to have the procedure. Additionally, because the Essure procedure is a significant choice (since it can’t be reversed), you shouldn’t make this choice if you’re under pressure or in the center of a significant life change (like after a miscarriage or during a divorce).