No-Incision (Hysteroscopic) Methods — Essure
To use Essure, a health care provider puts a tiny insert called a microinsert into each of the Fallopian Tube. Once in place, the inserts cause natural tissue to grow, blocking the tubes.
During the procedure, the health care provider uses local anesthesia to numb the cervix. You may be offered other medication to help you relax and reduce your discomfort. Some women report mild to moderate pain while the inserts are being placed. A small, rigid, tube-like instrument called a hysteroscope is inserted into the vagina and through the cervix.
The inserts are placed in the opening of the tubes.
Like vasectomy, Essure is not effective right away. Three months after insertion, a special x-ray is performed to make sure the tubes are fully blocked. You must use another form of birth control until then, or you may get pregnant.
Essure offers some advantages over other methods of sterilization:
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The procedure is safer than methods that require an incision.
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General anesthesia is not needed.
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A surgical setting is not needed.
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Recovery is faster — some women return to normal activities the same day.
With Essure, no incisions are necessary. So you won't have any visible scars.
What Are the Risks with Essure?
Studies have shown that Essure is safe, but there are still some possible risks:
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One or both of the inserts may not be put in place correctly the first time. A second procedure may be needed.
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The inserts may move out of place.
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Your tubes may not be completely blocked after 3 months. It may be necessary to wait 3 more months to see if they become blocked. If they don't, a second procedure may be needed.
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Your uterus or fallopian tubes may be injured during the insertion. This rare complication may require surgery.
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The inserts may be damaged during other medical procedures.
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Some people regret having the procedure. The risk of regret is greater for people who are younger than 30 years old and for those who've never had a child.
Other rare complications include too much fluid build up in your bloodstream, complications that come from being pregnant before the procedure, changes in your menstrual cycle, infection, and pelvic or back pain, or pain during sex.
Talk with your nurse or doctor about the benefits and risks of Essure to help you decide if it may be right for you.