Permanent Birth Control 2017-03-14T15:52:40+00:00

What is Essure?

Essure is a permanent birth control procedure that works with your body to create a natural barrier to prevent pregnancy. The Essure procedure offers women benefits that no other permanent birth control can.

  • Surgery-free—A simple procedure performed in your doctor’s office in less than 10 minutes
  • Hormone-free—A more natural birth control method
  • Anesthesia-free—There’s no slowing down to recover, and most women return to normal activities in less than a day
  • Worry-free—Since 2002 over half a million women and their doctors have trusted Essure as the most effective* permanent birth control

The Essure procedure

The Essure procedure was designed with women like you in mind—with no slowing down to recover—so you won’t need to take time away from your busy life. During the procedure, which takes less than 10 minutes, an Essure-certified doctor slides the small, soft inserts through the natural pathways of your vagina and cervix into your fallopian tubes, so no surgery or incision is required. The very tip of each insert remains visible to your doctor, providing immediate confirmation of proper placement. The flexible Essure inserts are made out of the same trusted, silicone-free material used in heart stents, so they bend and conform to the shape of your fallopian tubes while remaining securely in place.

Over the next three months, your body works with the Essure inserts to form a natural barrier within each of your fallopian tubes. These barriers prevent sperm from reaching the eggs so that pregnancy cannot occur. During this three-month timeframe, you must continue to use another form of birth control.

After three months, it’s time for your Essure Confirmation Test. During this simple test, a special dye is introduced into your uterus and viewed on an x-ray, so your doctor can confirm that your fallopian tubes are completely blocked and the inserts are in place. Once you receive this verification, you can rely on Essure for permanent birth control.

Like all permanent birth control procedures, including tubal ligation and vasectomy, the Essure procedure should not be considered reversible, so you should be sure you do not want to get pregnant in the future.

Essure is covered by most insurance providers and if the Essure procedure is performed in a doctor’s office, payment may be as low as your co-pay, depending on your insurance plan.

*Based on five years of clinical data.

Essure is just three simple steps

The Essure procedure is usually performed in less than ten minutes in your doctor’s office. Most women go home within 45 minutes and return to normal activities in less than a day. For the next three months, your body works with the Essure inserts to create a natural barrier against pregnancy. Once the barrier is confirmed through an Essure Confirmation Test, you’ll enjoy the confidence that comes from knowing you are protected from unplanned pregnancy.

1 THE PROCEDURE

An Essure-certified doctor places soft, flexible inserts into each of your fallopian tubes through the natural pathways of your vagina and cervix. There is no incision necessary. The tip of each insert remains visible, so your doctor can confirm that placement is accurate.

THE PROCEDURE

2 THE BARRIER

Over the next three months, your body works with the Essure inserts to form a natural barrier within your fallopian tubes that prevents sperm from reaching your eggs. Your ovaries will continue to release eggs, but they will be absorbed naturally into your body. You must continue to use another form of birth control during these three months.

THE BARRIER

3 THE CONFIRMATION

After three months you’ll take the Essure Confirmation Test to confirm you can no longer get pregnant. A special dye is introduced into your uterus, then viewed on an x-ray to confirm that the inserts are in place and your fallopian tubes are fully blocked. Once you receive verification from your doctor, you can start relying on Essure for permanent birth control.

THE CONFIRMATION

Download an Essure Patient Brochure

The Essure insert

Three key features of the Essure insert help make it the most effective* permanent birth control available: the shape, the size and the material from which it’s made.

The Essure insert

Shape: The small, soft Essure inserts are designed to slide easily into each fallopian tube and stay in place.

Size: The Essure inserts stay secure, forming a long protective area. They also remain visible, so your doctor can confirm that they’re properly in place.

Material: The Essure inserts are made from the same trusted, silicone-free material used in heart stents. The material is flexible, so it conforms to the shape of your fallopian tubes.

*Based on five years of clinical data.

Since 2002, Essure has been trusted by over half a million women. It’s a simple procedure, it’s the most effective* permanent birth control available and it offers benefits no other birth control method ever has.

Proven most effective

Essure is 99.8 percent effective, based on five years of clinical data. That’s higher than any other form of permanent birth control.

Permanent

Temporary birth control methods require maintenance—whether taking a pill once a day, or getting a shot every three months, or having an IUD placed and monitored over five years. Essure is a one-time procedure that prevents pregnancy permanently, so you never have to think about it again.

Surgery-free

Essure is a simple, non-surgical procedure that can be performed in your doctor’s office in less than 10 minutes. The doctor slides the small, flexible Essure inserts into the fallopian tubes through the natural pathways of the vagina and cervix, so no incision is necessary. Other forms of permanent birth control, such as tubal ligation (getting your tubes tied) and vasectomy are surgeries and therefore may have risks—in the case of tubal ligation, the risks associated with general anesthesia.

Hormone-free

Other birth control methods, including oral contraceptives, the shot, the ring and some IUDs, contain hormones and therefore come with potential risks and side effects. Essure contains no hormones to interfere with your body’s natural processes.

Rapid recovery

Following the simple 10-minute Essure procedure, most women are back to their normal routine in less than a day. Recovering from tubal ligation or vasectomy surgery can take up to a week, with downtime and discomfort.

Confirmation that Essure is working

The tips of the Essure inserts remain visible outside your fallopian tubes after the procedure, so your doctor can confirm that the inserts are properly in place. The Essure Confirmation Test, performed three months after your Essure procedure, lets your doctor verify that the inserts are still in place, your fallopian tubes are fully blocked and you can start relying on Essure for permanent birth control.

How does Essure compare to other methods of birth control?

As you gather information about which birth control is right for you now and in the future, be sure to consider all of your options. Birth control has steadily improved since the 1960s, with each new technology offering exciting new benefits to women. In Essure, we see the realization of all those years of birth control innovation. It’s been trusted by women and their doctors since 2002, with advantages that no other birth control can offer.

Once you decide on permanent birth control, you still have a number of options to choose from. Because the available methods differ substantially, it’s important to understand them and thoughtfully weigh the pros and cons before making a decision.

*Based on five years of clinical data.

Rock Hill GYN & OB Associates has seven board certified doctors on staff. We also have highly-trained nurse practioners and a licensed registered dietitian.

Benefits of Essure

Surgery-free

During the procedure, the Essure inserts are placed in the fallopian tubes through the natural pathways of the vagina and cervix, with no incisions and no surgery.

Most effective

Essure is proven to be the most effective permanent birth control available, based on five years of clinical data.

Can be performed in the comfort of a doctor’s office

Because there is no surgery required, the Essure procedure can be performed comfortably and quickly in your doctor’s office.

Hormone-free

Unlike many temporary methods of birth control such as oral contraceptives, the shot, the ring and some IUDs, the Essure inserts do not contain hormones. Therefore, they will not interfere with your monthly cycle nor cause the side effects that many women experience with hormone-related birth control.

Virtually recovery-free

Following the Essure procedure, most women return to their normal activities in less than a day.

Covered by insurance

The Essure procedure is covered by most insurance providers. If the procedure is performed in a doctor’s office, your payment may be as low as a simple co-pay, depending on your insurance plan.

Trusted

More than half a million women have chosen Essure as their permanent birth control since 2002. Additionally, the Essure inserts are made from the same proven materials that have been used in heart stents for many years.

Short procedure time

It typically takes less than ten minutes for an Essure-certified doctor to perform the procedure, and most women are on their way home 45 minutes later.

Anesthesia-free

The Essure procedure can be performed without general anesthesia. Although some doctors may offer local anesthesia, this is not a requirement of the procedure. You should discuss your options with your doctor.

Designed to fit

The small, soft inserts are specially designed to slide easily into your fallopian tubes and remain securely in place, while remaining visible to your doctor to help confirm proper placement.

Confidence

The Essure Confirmation Test verifies that the Essure inserts are properly placed and that your fallopian tubes are blocked.

Risks and considerations of Essure

All procedures, including Essure, are associated with certain considerations.

  • No form of birth control should be considered 100 percent effective.
  • Not all women will achieve successful placement of both inserts.
  • Side effects during or immediately following the procedure may include mild-to-moderate cramping, nausea/vomiting, dizziness/light-headedness, bleeding and/or spotting.

Whether you’re learning about permanent birth control for the first time or visiting our site for the hundredth time, you probably have questions. Take a look at some of the frequently asked questions our Essure counselors have received.

About Essure

What is Essure?

Essureis a proven, non-surgical, hormone-free permanent birth control procedure that works with your body to prevent pregnancy.

How effective is Essure?

Essure is 99.8% effective,* the highest of any form of permanent birth control.

See how Essure compares to other forms of birth control.

How long has Essure been available?

Approved by the FDA in 2002, Essure is trusted by more than half a million women and their doctors worldwide.

What are the benefits of Essure?

Essure is the most effective* permanent birth control available, offering benefits no other birth control ever has:

  • No surgery—the simple, ten-minute procedure can be performed in the comfort of a doctor’s office
  • No slowing down to recover
  • No anesthesia necessary
  • No hormones—a more natural birth control method
  • Peace of mind—your doctor will confirm when you can start relying on Essure for permanent birth control
  • Trusted by over half a million women and their doctors since 2002
  • Covered by most insurance providers

*Based on five years of clinical data.

About the procedure

How does Essure work?

An Essure-certified doctor places soft, flexible inserts into each of your fallopian tubes through the natural pathways of your vagina and cervix. There is no incision necessary. The tip of each insert remains visible, so your doctor can confirm that placement is accurate.

Over the next three months, your body works with the Essure inserts to form a natural barrier within your fallopian tubes that prevents sperm from reaching your eggs. You must continue to use another form of birth control during these three months.

After three months you’ll take an Essure Confirmation Test to confirm that the inserts are in place, your tubes are fully blocked and you can begin relying on Essure for permanent birth control.

What are the inserts made of?

The silicone-free inserts are made of a polyester fiber, nickel-titanium and stainless steel alloy. These are the same trusted materials that are used in heart stents and hundreds of other medical devices (e.g., heart valve replacements, blood vessel grafts and abdominal repair).

I think I have a nickel allergy. Can I still get Essure?

True nickel allergies are not as common as many people think. A good test is whether your skin reacts to the metal rivets in Levi’s® jeans, which are made from nickel. The amount of nickel released every day by an Essure insert is very, very small—less than one-thousandth of the amount in the average daily food intake. In the Essure clinical trials, no adverse reactions to nickel were reported. But if you have questions about a possible nickel allergy, talk with your doctor before scheduling your procedure.

Is the procedure painful?

Some women report mild discomfort or cramping, similar to a normal monthly cycle during or after the procedure.

What are the risks or considerations?

As with all medical procedures, there are risks and considerations associated with Essure:

  • No form of birth control should be considered 100 percent effective.
  • Not all women will achieve successful placement of both inserts.
  • During or after the procedure some women report mild discomfort or cramping similar to their normal monthly cycle.
  • Side effects during or immediately following the procedure may include mild-to-moderate cramping, nausea/vomiting, dizziness/light-headedness, bleeding and/or spotting.

Is the procedure safe?

Yes. The Essure procedure has been trusted by over half a million women and their doctors since 2002. The silicone-free inserts are made from the same proven materials that have been used successfully for many years in heart stents and other medical devices. Moreover, Essure enables you and your partner to avoid the risks and discomfort of surgical procedures like tubal ligation and vasectomy.

Is it covered by insurance?

Essure is covered by most health insurance providers. If the procedure is performed in your doctor’s office, the cost may be as low as a simple co-pay, depending on your insurance plan.

Is Essure easily reversible?

No. Like other forms of permanent birth control, including tubal ligation and vasectomy, Essure should not be considered reversible. It is for women who are certain that their family is complete.

After the procedure

How much time will I need to recover from the procedure?

Most women go home within 45 minutes of the Essure procedure and return to normal activities in less than a day.

Will I still get my menstrual period? How often? Will it be different?

You will still have your normal menstrual period. Some women report slightly lighter or heavier bleeding than usual, but these changes might result from discontinuing hormone-based birth control such as the Pill and returning to your normal cycle.

If you’ve experienced pain or heavy bleeding with your period over the years, ask your doctor about what treatment options are available to you.

Questions to ask your doctor >

Could the Essure procedure cause me to gain weight?

Since Essure does not contain hormones, it should not cause weight gain.

What is the Essure Confirmation Test?

The Essure Confirmation Test is a test performed three months after the procedure. A special dye is introduced into your uterus, then viewed on an x-ray to confirm that the inserts are in place and your fallopian tubes are fully blocked. Once you receive verification from your doctor, you can start relying on Essure for permanent birth control.

Do I need an Essure Confirmation Test?

Yes. The Essure Confirmation Test not only verifies that your fallopian tubes are completely blocked, but also that the Essure inserts are properly in place. Therefore, until your doctor performs the test and confirms that you can begin relying on Essure, you should not consider yourself protected from unplanned pregnancy and must continue to use another form of birth control.

Comparing permanent birth control methods

How is the Essure procedure different from having your tubes tied?

Tubal ligation, also known as “having your tubes tied,” is a surgery. The procedure is typically performed under general anesthesia in a hospital operating room. Recovery time is 4-6 days.

The Essure procedure is not surgery. It can be performed in your doctor’s office and requires no general anesthesia or incisions. Most women return to normal activities in less than a day. Essure also has a confirmation test that lets your doctor verify that the inserts are properly in place and your fallopian tubes are fully blocked. Tubal ligation does not. Compare Essure to tubal ligation.

Are there risks or complications associated with tubal ligation?

Because incisions are made in the abdomen and the laparoscope is inserted blindly into the abdomen, complications may include infection; bleeding; damage to blood vessels, nerves, or muscles; damage to the bladder, uterus, or bowel requiring surgical repair; blood clots; failure of the procedure resulting in pregnancy; and, in rare cases, death. Additionally, tubal ligation requires general anesthesia, which is also associated with certain risks.

What are the risks associated with the general anesthesia required for tubal ligation?

Negative reactions to general anesthesia may include nausea, slowness of the anesthesia to wear off, a sore throat if a tube is used during general anesthesia, seizure or heart attack, high temperature, confusion and death.

How is the Essure procedure different from a vasectomy?

Vasectomy is a permanent birth control surgery for men. Essure is a non-surgical permanent birth control procedure for women.

Vasectomy is a surgery in which the doctor punctures or makes an incision into a man’s scrotum and cuts the vas deferens. Its ends are burned or clipped closed. A vasectomy takes about 15 to 30 minutes, and recovery is usually about 2-3 days. The man may also need to apply ice packs to the scrotum and wear an athletic supporter for several days to prevent swelling and bruising. With a vasectomy, it is recommended that a sperm test be performed three months after the procedure and repeated every ten years.

By contrast, Essure is non-surgical permanent birth control. The simple Essure procedure is performed in a doctor’s office in under ten minutes. Most women go home within 45 minutes and return to normal activities in less than a day.

What are some risks and complications associated with vasectomy?

There is a small chance of pregnancy, even many years following the procedure. Additionally, complications may include bruising on the scrotum, infection of the incision/puncture in the scrotum, painful testicles (epididymitis) and granuloma, small lumps caused by sperm leaking into the surrounding tissue in the scrotum.

How is Essure different from other permanent birth control inserts?

There is another permanent birth control procedure that, like Essure, is performed in your doctor’s office and does not involve either cutting or hormones. However, it differs from Essure in several ways. It uses energy to create the body’s response. The insert is smaller than the Essure insert, and therefore requires very precise placement and blocks a smaller area of the fallopian tube. It was only recently approved by the FDA, while Essure was approved in 2002. Plus its short-term pregnancy rates are about 10 times higher than those of Essure. There is no available data about its effectiveness beyond three years. Compare Essure to other birth control inserts.

*Based on five years of clinical data.

You’ve done your research. You’ve talked it over with your partner. You’ve decided that you’re ready for permanent birth control because your family is complete. Now, you want to know what to expect before, during and after the Essure procedure.

Before

Once you determine that you want to get the Essure procedure, talk to your Doctor about Essure. At your consultation, your doctor will talk to you about the procedure, answer your questions and help determine if Essure is right for you.

 

During

During the procedure, your doctor will slide small, soft inserts through the natural pathways of your vagina and cervix into your fallopian tubes. No incisions are necessary, and this process typically takes less than 10 minutes. The inserts are designed to allow your doctor to see immediately that they have been properly placed. Anesthesia is not required for the procedure, although some doctors may offer it. Some women report mild discomfort or cramping during or after the procedure that is similar to a normal monthly cycle. Most women go home within 45 minutes of having the Essure procedure, and return to normal activities in less than a day.

During the procedure

After

Over the next three months, your body works with the Essure inserts to form a natural barrier within your fallopian tubes. These barriers prevent sperm from reaching the eggs so that pregnancy cannot occur. During this time, you and your partner will need to continue to use another form of birth control.

After the procedure

Three months after your procedure, it’s time to go for your Essure Confirmation Test. During this simple test, a special dye is introduced into your uterus and viewed on an x-ray. Once the doctor confirms that your fallopian tubes are completely blocked and the inserts are in place, you can rely on Essure for permanent birth control.

You will continue to have a regular menstrual period, but some women who have had the Essure procedure find that their period changes afterward, becoming slightly lighter or heavier. These changes may be due to discontinuing hormone-based birth control, such as the Pill, and returning to your normal cycle. Your ovaries will continue to release eggs, but they will be absorbed through your body’s normal process.

That’s it! Now you can focus on yourself, your family and the life you have created, with the confidence that you are protected from unplanned pregnancy.

*Based on five years of clinical data.

The Essure procedure is covered by most health insurance providers. Once you have decided that the Essure procedure is right for you, please review your insurance coverage with your physician. If the procedure is performed in a doctor’s office, the cost may be as little as a simple co-pay, depending on your insurance provider. Be sure to contact your insurance carrier before having the procedure to verify that your insurance plan covers the Essure procedure.

Here’s how:

  1. Call your insurance company’s customer service or benefits phone number listed on your health insurance card.
  2. Ask for your plan’s specific coverage and payment guidelines for Hysteroscopic Sterilization (code 58565).
  3. Specify where you plan to have the procedure (physician’s office, hospital outpatient or ambulatory service center). This could affect the amount of reimbursement.

If your physician’s office has questions about reimbursement for the Essure procedure, they can call 1-877-ESSURE2 (877-377-8732).

Rock Hill GYN & OB Associates has five board certified doctors on staff. We also have highly-trained nurse practioners and a licensed registered dietitian.

When you know your family is complete, you’re ready to consider permanent birth control. More and more women like you are making the decision to have the Essure procedure to prevent unplanned pregnancy, so they can fully enjoy the lives they have built for themselves. They’re choosing lives without hormones or the hassle of temporary birth control methods, with the confidence of knowing that they are protected from unplanned pregnancy forever.

Essure may be right for you if you:

  • Are certain you do not want any more children
  • Want to stop worrying about unplanned pregnancy forever
  • Want the most effective* permanent birth control available
  • Want to stop managing your temporary birth control method
  • Would like to stop taking hormone-based birth control
  • Want to avoid surgery, scarring, silicone or risks of other permanent birth control procedures
  • Are concerned about the risks of general anesthesia
  • Want more spontaneity in your sexual relationship
  • Want confirmation that you’re protected from unplanned pregnancy

You should delay your decision if you:

  • May want to have children in the future
  • Are pregnant or think you might be pregnant
  • Have been pregnant during the past six weeks
  • Have an active or recent pelvic infection

*Based on five years of clinical data.

Preparing for your initial appointment

If you think Essure might be right for you, schedule a consultation with an Essure-certified doctor. This consultation is an opportunity to educate yourself about Essure and ask questions. Use the following list as a starting point and add any questions of your own:

  • Do you perform the Essure procedure here in your office?
  • How long does it take you to perform the Essure procedure?
  • Will I need medications before, during or after the procedure? If so, which ones do you recommend?
  • What can I expect on the day of the procedure?
  • Do I need any special preparations the night before or morning of the procedure?
  • Is there a recovery period with Essure? What can I expect?
  • Can I drive myself home after the procedure?
  • What will be my options if both inserts cannot be placed on my first visit?
  • Who will perform my Essure Confirmation Test and how should I schedule it?
  • Can I continue using my current birth control during the three months between the procedure and the Essure Confirmation Test?
  • Tell me about your other patients’ experiences with Essure.