Vasectomy is a surgical procedure for male sterilization. Unlike vasectomy, the Essure procedure is a sterilization method for women and does not involve cutting. The chart below compares the benefits and risks of vasectomy and the Essure procedure.

How is the procedure performed?	A soft, flexible micro-insert is delivered through the vagina and uterus and placed into each fallopian tube. The spring-like micro-insert expands during placement to fit the tube.A small trailing portion of the micro-insert remains in the uterus. This viewable portion of the micro-insert serves to verify placement and does not irritate the lining of the uterus. Scar tissue grows into the micro-insert (usually over 3 months) and forms a barrier so the sperm cannot reach the egg.	The scrotal area is shaved and cleaned with an antiseptic solution. An incision or puncture is made into the scrotum (the sac containing the testicles). The vas deferens tubes, one from each testicle, are tied in two places with permanent sutures. The tubes are severed between the ties by: Cauterization (burning or searing of the tubes) Cutting Blocking with clips or clamps If an incision is made, it is then closed with stitches.
Effectiveness	99.95% at 1 year 99.80% at 4 years	99.26% at 1 year 98.87% at 5 years
Procedure Time	13 minutes*	20–30 minutes
Recovery Time	1–2 days or sooner	2–3 days
Post-procedure pain/discomfort	Cramps Discharge	Swelling Bruising Pain in the testicles (Ice packs and/or an athletic supporter may need to be used to decrease bruising and swelling.)
Reliance and Test	Reliance can begin at 3 months when the Essure confirmation test confirms placement and blockage of the tubes.	Reliance can begin at 3 months when a follow-up sperm test confirms no sperm is evident.