Essure Sterilization


The Essure procedure is a sterilization procedure for women that is performed by an Essure trained doctor. Unlike tubal ligation and vasectomy, there are no incisions.Instead, micro-inserts are passed through the body’s natural pathways (vagina, cervix, and uterus) and placed into your fallopian tubes.

During the first 3 months following the procedure, your body and the micro-inserts work together to form a tissue barrier that prevents sperm from reaching the egg. During this period, you will need to use another form of birth control.

After 3 months, your doctor will perform a special type of x-ray test called an HSG to confirm that your tubes are completely blocked and you can rely on the Essure micro-inserts for birth control.


The Essure procedure is 99.80% effective based on 4 years of follow-up.

No incisions
The Essure micro-inserts are passed through the body’s natural pathways and inserted into the fallopian tubes. Unlike a tubal ligation (for a woman) or a vasectomy (for a man) there is no cutting into the body.

Quick recovery
The Essure procedure takes very little time out of women’s busy lives and most women return to their normal activities within one day.

No general anesthesia required
There are risks and side effects associated with general anesthesia. Although some physicians may offer general anesthesia, this is not a requirement of the procedure. You should discuss your anesthesia options with your Essure physician.

Short procedure time
The Essure procedure only takes about 35 minutes for an Essure trained physician to perform. Most women are on their way in an average of 45 minutes.

No hormones
Unlike many temporary methods of birth control, the Essure micro-inserts do not contain or release hormones and are made with the same kind of safe materials that have been used in other medical devices (such as heart stents and valves) for many years.

Can be performed in a doctor’s office
Because there is no cutting or general anesthesia required the Essure procedure can be performed safely and comfortably in a doctor’s office.

Covered by insurance
The Essure procedure is covered by most health insurance plans. Check with your health insurance company to see if the Essure procedure is covered for you.

Risks of the Essure procedure

  • Perforation, expulsion, or other unsatisfactory location of the micro-insert
  • Pregnancy & theoretical increased risk of ectopic pregnancy
  • Risks associated with anesthesia
  • Pain, cramping, vaginal bleeding, menstrual pattern changes
  • Nausea/vomiting, or fainting
  • Vasovagal response
  • As with all procedures, there are risks associated with the Essure procedure. Learn more about key risks and considerations.