Essure

Essure: Permanent Female Birth Control

If you are planning to have the Essure procedure done in our AOA office, please visit the Essure website for more information.

The procedure is called Essure Hysteroscopic Sterilization  and is a surgery-free permanent birth control procedure that works with your body to create a natural barrier  to prevent pregnancy. The Essure procedure offers benefits that no other birth control can.

The procedure is performed in AOA’s  office  under IV sedation anesthesia. The Essure Hysteroscopic permanent female contraception procedure for women is 99.8% effective  in preventing unwanted pregnancies compared to tubal  ligation (98.1%) and vasectomy (99.5%).

The Essure procedure lasts only15-20 minutes and the patient can then go  home. AOA phyaicians have performed over 1000 + since 2005.

In the past, female sterilization procedures have been performed in a hospital or ambulatory surgery center setting under general anesthesia. Research has shown that the Essure procedure is equally effective and easier on the patient in regards to perioperative and post-operative pain tolerance; in the largest study, only 4% of participants reported being uncomfortable during the procedure.

IS ESSURE RIGHT FOR ME?

If you have completed having children and you are considering permanent contraception, then you are a candidate for Essure. Women who are still considering future pregnancies are not candidates for the procedure.

The procedure can be reversed, but requires major surgery and has a very low success rate. Studies are currently being performed on the success of in vitro fertilization on patients having had the Essure procedure performed.

HOW SAFE IS ESSURE?

Essure is a very safe procedure for permanent contraception. Since there are no incisions, the procedure can be performed under local anesthesia. During the Essure procedure, a hysteroscope (thin, lighted telescope) is placed through the vagina and cervix to the inside of the uterus. The entire procedure is seen on a TV screen so your doctor and you can watch while the procedure is being performed.

DOES THE ESSURE PROCEDURE HURT?

Before the procedure, you are given medication by an Anesthesiologist to help you relax and put you to sleep. You will not feel movement, pressure, or pain during the procedure.  Because there are no incisions, there is no significant pain after the procedure is over. Because of the medications given to temporarily put you to sleep, you will need to have someone to drive you to your appointment and home after the procedure.

HOW LONG WILL THE ESSURE PROCEDURE TAKE?

The actual procedure lasts approximately 15-20 minutes. You will be asked to arrive approximately 1 hour before you appointment to be given your medications and allow them time to take effect. After the procedure  is over, you may leave. Total time is approximately 45 minutes.

WHAT HAPPENS AFTER THE PROCEDURE?

When you return home you should take is easy for a couple of hours. Later if you feel like going out, go ahead; just no alcoholic beverages or driving until the next day. Spotting is possible, but very rarely is it heavy. You will need to continue some form of contraception for the next 3 months until the tubes are completely closed. This is confirmed by a special radiological x-ray, called a hysterosalpingogram (HSG), which is performed at the hospital. There may be a separate deductible charge to pay for this procedure.

HOW SOON CAN I SEE RESULTS?

Three months after the Essure procedure the HSG is performed. Approximately 99.5% of HSGs demonstrate both tubes are blocked at that time.

HOW SOON CAN I HAVE INTERCOURSE AFTER THE PROCEDURE?

If you are having vaginal spotting, you should refrain from intercourse. By having intercourse too soon, you might introduce normal vaginal bacteria into the uterus where it doesn’t belong, and cause an infection requiring hospitalization and I.V. antibiotics. Usually this will only lasts 1-2 weeks.

HOW LONG SHOULD THE ESSURE PROCEDURE LAST?

The Essure procedure is intended to be a one-time procedure, with the results lasting until you have gone through menopause. In our patients, there have been no diagnosed pregnancies in patients that have had HSGs confirming both tubes being blocked after the Essure procedure.

HOW LONG WILL I NEED TO BE OFF WORK?

You will need to take off the day of the procedure. The following day, you should feel normal and may return to your daily activities.

CAN I SCHEDULE THE PROCEDURE AT ANY TIME IN MY CYCLE?

It is best to have the procedure done the week after you finish your cycle. The endometrial lining is at its thinnest at that time, and doing the procedure at this time given you the best chance of success. You can be given medication to take after your cycle starts to keep your lining thin and allow you more freedom scheduling your procedure.

DOES MY INSURANCE COVER THE PROCEDURE?

Most insurance carriers cover the Essure procedure. Our office always calls to check with your insurance company before your procedure is scheduled. You are also given information so you can call and find out what your insurance will require you to pay. Most insurances have designated a smaller co-pay for the Essure procedure being performed in the office than you would pay to have the procedure done at a hospital or surgery center.