What is Essure?

Essure is a permanent birth control procedure. This is a procedure where a doctor will place a small flexible coil into each of the Fallopian tubes. The doctor will first use a thin tube with a tiny camera  to look inside the uterus and identify the Fallopian tubes. There are no incisions.

Why is this procedure used?

The procedure is a form of permanent birth control it is 99.8% effective against pregnancy. However, a back-up method of birth control should be used for up to 3 months after insertion.

How do I prepare for procedure?

  • The best time to perform this procedure is within 7 days after your period ends.
  • The Hysteroscopy cannot be performed during your menstrual cycle or if you are pregnant.
  • There are no restrictions on activity or diet before the Hysteroscopy unless otherwise instructed by your doctor.
  • Unless otherwise instructed by your doctor, you may take 600 mg of Motrin 1-2 hours prior to the procedure and every 6 hours following the procedure if necessary.  Most women tolerate the Hysteroscopy without any medication.

What can I expect during the procedure?

  • Hysteroscopy typically lasts 5 minutes or less.
  •  Anesthesia is not normally used for this office procedure.
  • A speculum is placed in the vagina just like during a routine pelvic exam.  The cervix is cleaned with iodine or another cleansing solution.  The thin tube with a tiny camera is inserted through the cervical opening into the inside of the uterus. If you wish, you can watch the procedure on a television monitor.  Any findings will be explained to you during the procedure.
  • If you have problems with pelvic exams, please talk with your referring doctor before scheduling an appointment for hysteroscopy.  The doctor who recommended hysteroscopy can contact our office to determine if this procedure can be done in the office.
  • Most patients experience little or no discomfort.

Possible risks during surgery include:

  • Pain
  • Dizziness/light-headedness
  • Bleeding/spotting
  • Damage to the vagina, cervix, or uterus.
  • A blood clot in the legs or lung: Swelling or pain, shortness of breath, or chest pain are signs of blood clots. Call your health care provider immediately if any of these occur.

Possible risks that can occur days to weeks after surgery:

  • Infection: Fever
  • Scar tissue: Tissue thicker than normal skin forms at the cervix or uterus.

What happens after the procedure?

  • You may experience mild cramping which should end when the procedure is finished.
  • You may experience spotting or watery discharge following the procedure.

Contact your doctor office if you have any concerns.