Using Essure for Birth Control

Tubal Ligation Metal Implant
Science Picture Co / Getty Images

Deciding whether or not it's time to seek permanent birth control is a major life decision. It may be helpful to know that voluntary sterilization is the most popular birth control methods in the US. Whereas men only have the option of a vasectomy for permanent sterilization, women can choose between a tubal ligation, a surgery that closes off a woman's fallopian tubes (having your tubes tied), or a non-surgical permanent birth control procedure, like Essure.

If you’ve already decided that permanent sterilization is the way to go, the next thing to decide is whether the Essure procedure may be the right choice for you.

Bayer, the manufacturer of Essure, ended sales and distribution of it on December 31 2018 for business reasons. The FDA notes that health care providers may continue to implant Essure for one year after the date of purchase.


The Essure procedure offers women a permanent birth control solution without hormones, cutting, or the risks of tubal ligation. FDA-approved in 2002, the Essure procedure requires no incisions. Two small metal springs (known as micro-inserts) are placed in each fallopian tube through the cervix. In about three months, the coil implants will trigger scar tissue to grow around them. The scar tissue will permanently block the tubes. The Essure procedure is done without surgery or anesthesia and takes between 10-30 minutes. It’s typically performed in a doctor’s office and doesn’t require an overnight stay.

Essure vs. Tubal Ligation

A tubal ligation requires surgery, whereas Essure does not. With Essure, a small insert is put into each fallopian tube through the vagina, cervix, and uterus. Tubal ligation is usually done as a laparoscopic procedure under anesthesia. A small incision, about half an inch long, is made in or below the belly button (sometimes, a second tiny cut may be made above the pubic hairline). Gas is used to expand the abdomen, and the fallopian tubes are blocked with either rings, clamps, clips, cutting away part of the tube, or sealing them shut with an electric current. Stitches or staples are then used to close the incisions. 

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

Effectiveness of Essure

The effectiveness of your contraception is likely an important consideration in your birth control decision. Three months after your Essure procedure, your doctor will perform a hysterosalpingogram (HSG) test to confirm that the micro-inserts are properly placed and that the fallopian tubes are fully blocked. You will need to use a backup birth control method during this time.

Once the Essure procedure has been confirmed by the HSG, Essure has been found to be 99.95% at 1 year. It is 99.83% effective based on 5 years of clinical data and is the only birth control method with zero pregnancies in clinical trials.​

Questions to Ask Yourself When Deciding

  • Are you positive you don’t want any more children?
  • Would you like to stop using hormonal contraception?
  • Do you want a birth control method that allows for spontaneity in your sexual relationship?
  • Are you worried about general anesthesia?
  • Would you feel comfortable using a permanent birth control method?
  • Are you tired of worrying about unplanned pregnancy?
  • Do you want to have my tubes tied but do not want the surgery and incisions associated with typical tubal ligation procedures?

When the Procedure May Not Be the Right Decision

If you might want to have children in the future, the Essure procedure may not be right for you. You should also not undergo 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 may also not be the right choice if you're feeling pressured by someone else to have the procedure. Also, because the Essure procedure is a major decision (as it can't be reversed), you shouldn’t make this choice if you’re under stress or in the middle of a major life change (like after a miscarriage or during a divorce).

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  • Conceptus Inc. Essure Website.