Essure® – Contraception


Essure® is a type of permanent birth control that was approved by the US Food and Drug Administration (FDA) in 2002. It involves the insertion of small, flexible coils through the vagina and cervix into the fallopian tubes. Over time, scar tissue forms around the coils, blocking the tubes and preventing fertilization. Unlike other forms of permanent birth control, Essure does not require surgery or incisions, and can be done in a doctor’s office.

Essure is used as a permanent form of contraception for women who do not want to have children in the future. It is not intended to be a reversible form of birth control.
After the procedure, some women may experience mild cramping or discomfort. In rare cases, the coils may puncture the uterus or fallopian tubes, which can cause pain and bleeding.
The placement of the Essure coils can be confirmed through imaging tests, such as a hysterosalpingogram (HSG) or transvaginal ultrasound.
Essure is meant to be a permanent form of birth control and is not intended to be removed. However, in rare cases where removal is necessary, surgery may be required.


Women who are allergic to nickel, which is a component of the Essure coils, should not have the procedure. It is also not recommended for women who have had a previous tubal ligation or who have a known or suspected pregnancy. Women should discuss the risks and benefits of Essure with their healthcare provider before deciding if it is the right form of birth control for them.

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