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What Happens During the Procedure?


Essure DecriptionDuring the implantation procedure, the physician inserts one of the devices into each of the two fallopian tubes. This is done with a special catheter that is inserted through the vagina into the uterus, and then into the fallopian tube. A Dacron-like mesh material embedded in the coils irritates the fallopian tubes’ lining to cause scar tissue to grow. The device works by inducing scar tissue to form over the implant, blocking the fallopian tube and preventing fertilization of the egg by the sperm.

Use Alternate Contraception Initially

During the first three months, women cannot rely on the Essure implants and must use alternate contraception. At the three-month point, women must undergo a final x-ray procedure in which dye is placed in the uterus and an x-ray is taken to confirm proper device placement. Once placement is confirmed, the alternate contraception can be discontinued.

Remember Essure is Irreversible

Women who choose this device for sterilization should be aware that the procedure is irreversible, and so they should carefully evaluate such issues as their age and the possibility that they could wish to become pregnant in the future. On the other hand, women should also know that pregnancies following sterilization can occur, even many years after the procedure, and that such pregnancies are at increased risk to be ectopic, a life-threatening condition.

What is the Essure Procedure Like for Women?

If the Essure procedure is completed successfully, the one-year effectiveness rate is greater than 99.8%. The average procedure time is about 15 minutes. Essure is highly rated by women.

  • General anesthesia is not required, however some  patients or physicians elect to do the procedure under general anesthesia.
  • Most women miss only one day or less of work, not including the day of the procedure.  After three days, women are usually back at work.
  • One year after the procedure, women rated Essure very highly.

This is an excerpt from an FDA Informational Booklet.

This information is provided for your information. It is not medical advice and should not be relied upon as a substitute for visiting your doctor. If you need medical care, or have any questions, please contact your obstetrician-gynecologist.