Looking for more information about Essure? You’ve come to the right place.

Essure is permanent birth control that works with your body to prevent pregnancy. Already considering Essure? You might have questions about the Essure procedure or what permanent birth control could mean for you. Get some answers here. And, as always, talk to your doctor about any questions or concerns you may have.

About Essure

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What is Essure?

Essure is permanent birth control that works with your body to create a natural barrier against pregnancy. The procedure involves permanently placing a soft, flexible insert into each fallopian tube. Over a period of about 3 months, a natural barrier forms around the inserts which prevents sperm from reaching your eggs. During this time you must continue using another form of birth control to prevent pregnancy. Three months after your Essure procedure, you will need to have a Essure Confirmation Test to determine if you can rely on Essure for birth control. Your doctor will advise you on the type of test that is right for you.

IMPORTANT: YOU MUST SEE YOUR DOCTOR FOR THE ESSURE CONFIRMATION TEST BEFORE YOU CAN RELY ON ESSURE FOR BIRTH CONTROL. YOU MUST CONTINUE TO USE ANOTHER FORM OF BIRTH CONTROL TO PREVENT PREGNANCY UNTIL YOUR DOCTOR TELLS YOU THAT YOU CAN RELY ON ESSURE FOR BIRTH CONTROL.

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How effective is Essure?

Essure is over 99% effective at preventing pregnancy in women who were told to rely on Essure for birth control.*

*Based on clinical study data in women told to rely.

How long has Essure been available?

  • Essure has been FDA-approved and available in the US since 2002.
  • Over 750,000 women and their doctors have chosen Essure for permanent birth control*

*based on units sold worldwide

What are the benefits of Essure?

  • Minimally Invasive Procedure- Essure placement requires no cutting, leaves no visible scars, and can be performed in your doctor’s office.
  • No General Anesthesia Required- You can remain fully conscious during the procedure. Your doctor may recommend a medication to reduce anxiety and/or use a local (numbing) anesthetic to reduce potential discomfort.
  • Non-Hormonal- For patients who prefer or need non-hormonal birth control, Essure inserts do not contain or release hormones.
  • Return to Normal Activity within 1 to 2 days- The majority of women (60%) return to normal activity within 1 day or less, and more than 75% return to normal activities within 2 days.
  • Short Placement Time- Total procedure time on average is 36 minutes. In the most recent clinical study, over 96% of women were able to have both inserts placed at the first placement attempt.
  • Highly Effective- The Essure procedure is 99.3% effective at preventing pregnancy in patients who were told to rely on Essure for birth control (based on first year reliance in the most recent clinical study).

You must continue to use another form of birth control until you have your Essure Confirmation Test and your doctor tells you that you can rely on Essure for birth control.

Is Essure right for me?

Essure might be right for you if:

  • You are certain you do not want any more children
  • You desire permanent birth control
  • You would like to stop worrying about getting pregnant
  • You prefer a method or procedure that:
    • Does not take a lot of time
    • Can be done in your doctor's office
    • Does not require cutting and leaves no visible scars
    • Does not contain hormones

Essure is NOT right for you if:

  • You are uncertain about ending your fertility
  • You suspect that you are pregnant
  • You have only one fallopian tube
  • You have one or both fallopian tubes closed or obstructed
  • You have had your “tubes tied” (tubal ligation)
  • You are allergic to contrast dye used during x-ray exams
  • You are unwilling to undergo the Essure Confirmation Test
  • You have unexplained vaginal bleeding
  • You have suspected or known cancer of the female reproductive organs

You should wait to have the Essure procedure if:

  • You are or have been pregnant within the past 6 weeks
  • You have an active gynecological infection
  • You are in the second half (weeks 3 and 4) of your menstrual cycle. During that time there is an increased risk of being pregnant prior to having the Essure procedure

You should speak to your doctor if:

  • You are taking or receiving therapy that suppresses your immune system. Examples include chemotherapy or corticosteroids, such as prednisone. Therapy that suppresses the immune system may make the Essure procedure less effective for birth control
  • You have, or think that you may have, a history of metal allergies or an allergy to polyester fibers, nickel, titanium, platinum, silver-tin, or stainless steel or any other components of the Essure system
  • You are currently using an IUD for contraception
  • You have already had, or are considering a procedure to reduce bleeding from the uterus (such as endometrial ablation) tell your doctor as it may affect the Essure procedure
    1. The ablation procedure should not be performed on the same day as your Essure placement procedure
    2. If you have Essure placed, your doctor must confirm that it is in a satisfactory location (via the Essure Confirmation Test) before performing an ablation procedure

Talk to your doctor about the Essure procedure and if it is right for you. Refer to Patient-Doctor Discussion Checklist and review it with your doctor.

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Has Essure been reviewed by the FDA?

Essure was approved by the FDA in 2002. See the FDA information on Essure here.

See what other women are saying about Essure here.

Has Bayer stopped selling Essure® in the US?

No. In some countries outside of the US, Essure distribution is being discontinued for business reasons.

Is Bayer discontinuing Essure in some countries due to safety concerns?

No, in some countries outside of the US, Essure distribution is being discontinued for commercial reasons only. Essure is still available in the US. Bayer stands behind the benefit risk profile of Essure, which is based on comprehensive clinical development programs.

About the Essure procedure

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How does Essure work?

Essure is a non-hormonal permanent birth control method that works with your body to create a natural barrier against pregnancy. The Essure procedure involves permanently placing a soft, flexible insert into each of your fallopian tubes. Over a period of about 3 months, a natural barrier forms around the inserts that keeps sperm from reaching the eggs and prevents conception. During the 3-month period, you must continue to use another form of birth control.

Find out more

What are the Essure inserts made of? Do they contain hormones?

The soft, flexible, coil-shaped Essure inserts are made from polyester fibers, nickel, titanium, platinum, silver-tin and stainless steel. These same materials have been used for many years in cardiac stents and other medical devices placed in other parts of the body. The Essure inserts do not contain hormones.

I think I have a nickel allergy. Can I still get Essure?

Patients with known hypersensitivity to polyester fibers, nickel, titanium, platinum, silver-tin, stainless steel, and/or any of the components of the Essure insert may have an allergic reaction. This includes patients with a history of metal allergies. Some patients may develop an allergy to nickel or other components of the insert after placement. Symptoms reported in women using Essure that may be associated with an allergic reaction include hives, rash, swelling and itching. There is no reliable test to predict who may develop a reaction to the inserts.

Is the Essure procedure painful and what are the most common side effects during the procedure and the days afterward?

There may be some pain associated with placing Essure. Some women report mild to moderate discomfort, pain, and cramping, during or after the placement procedure. Symptoms may be similar to what they might experience in their normal monthly cycle. There are reports of chronic pelvic pain in women, possibly related to Essure. In these cases, it may be necessary to remove the insert.

In the clinical trials, some women reported mild to moderate side effects during and after the procedure. During the procedure, the most common side effect reported was mild to moderate pain (9.3%). Some of the women in the study reported moderate pain (12.9%) and/or cramping (29.6%) on the day of the procedure. A smaller percentage of women reported nausea/vomiting (10.8%) and vaginal bleeding (6.8%). Eighty-eight percent of women rated tolerance of the placement procedure as good, very good, or excellent.

Click here to learn about additional safety information.

Will I be able to feel the Essure inserts in my body?

No, you will not be able to feel the Essure inserts once they have been placed in your fallopian tubes.

Will my partner be able to feel the Essure inserts during sex?

No, since the Essure inserts are placed in the fallopian tubes, your partner will not be able to feel them.

What are the risks or considerations?

As with all procedures, there are risks and considerations associated with Essure. Pain (acute or persistent) of varying intensity and length of time may occur and continue following Essure placement. This is also more likely to occur in women with a history of pain. There are reports of an Essure insert being located in the lower abdomen and pelvis. If this occurs you cannot rely on Essure for birth control and surgery may be necessary. Ectopic pregnancies (pregnancy outside the uterus) may occur with Essure. This can be life-threatening.

Click here to learn about additional risks or see the Patient Information Booklet.

Is Essure covered by insurance?

Essure is covered by most health insurance providers, including Medicaid. Under the Women’s Preventative Services provision of the Affordable Care Act, Essure may be covered by insurance without co-pays, deductibles, or out-of-pocket costs. Call your health insurance company to find out if the Essure procedure and Essure Confirmation Test are covered in full.

Find out more.

Is Essure reversible?

No. Essure is a permanent birth control method and like other forms of permanent birth control, including tubal ligation and vasectomy, Essure should not be considered a reversible birth control option. It is permanent. Before choosing Essure, you should be certain that you are done having children.

How soon after having a baby can I get Essure?

You cannot have the Essure procedure if you have been pregnant within the past 6 weeks. Speak with your doctor about what’s right for you.

After the Essure procedure

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How much time will I need to recover from the procedure?

The majority of women (60%) return to normal activity within 1 day or less. More than 75% return to normal activities within 2 days.

How soon after having the Essure procedure can I have sex?

Talk to your doctor for more information on this topic.

Find out more about what to expect after the procedure

Will I still get my period? Will it be different?

Yes, you will still have a period. Some women find that their period may become slightly lighter or heavier after their procedure. These changes are often temporary. They may also be due to stopping your previous hormonal birth control, rather than the Essure procedure.

Can I still use a tampon with Essure?

Yes. Because Essure is placed in your fallopian tubes, and not your vagina, you will still be able to use tampons.

Will I gain weight with Essure?

While weight gain was not studied in the clinical trials for Essure, the Essure inserts do not contain or release any hormones. Talk to your doctor for more information. However, weight changes have been reported to the FDA by women implanted with Essure. It is unknown if it is related to Essure or other causes.

What is the Essure Confirmation Test?

The Essure Confirmation Test verifies that the inserts are in the correct location and sometimes tests whether the tubes are blocked. The Essure Confirmation Test can be a modified HSG or a transvaginal ultrasound (TVU). Your doctor will determine which Essure Confirmation Test is appropriate for you. In some cases, it may be necessary to have both tests.

During the modified HSG, a special contrast dye is injected into your uterus. The dye is visible on x-rays. This lets the doctor confirm that the inserts are properly placed and that your tubes are blocked.

During the TVU, an ultrasound device will be placed into your vagina. The ultrasound will enable your doctor to see the Essure inserts within your fallopian tubes and determine if the inserts are in the proper place. If the doctor is unable to determine if the inserts are in the proper place with the TVU, you will need to have a modified HSG.

If you have experienced unusual post-procedure pain or have undergone treatment that suppress your immune system such as chemotherapy or use of corticosteroids such as prednisone, talk to your doctor before scheduling the Essure Confirmation Test, as the TVU test is not appropriate for you.

Find out more about the Essure Confirmation Test

Do I need an Essure Confirmation Test?

Yes. The Essure Confirmation Test is an important and necessary step in the Essure procedure. You must continue to use another form of birth control until you have your Essure Confirmation Test and your doctor tells you that you can rely on Essure for birth control. For some women, it may take longer than 3 months for Essure to completely block the fallopian tubes, requiring a repeat Essure Confirmation Test at 6 months.

Find out more about the Essure Confirmation Test

Can I have an MRI after having the Essure procedure?

The Essure inserts can be safely scanned with MRI only under specific conditions. Before you have an MRI, tell your doctor that you have had the Essure inserts placed.

After your Essure procedure, you will be given an Essure ID card. The ID card tells doctors and others that you have Essure inserts in your fallopian tubes. Show the card before having any procedure involving your abdomen, pelvis, uterus or fallopian tube, including an MRI, D&C, hysteroscopy, endometrial biopsy, or endometrial ablation. Body areas near the inserts may be obscured when they are seen on x-rays, MRIs, and other imaging.

Will Essure affect my ability to have other gynecologic procedures?

Tell your doctor that you have Essure inserts when discussing any other gynecologic procedures. After your Essure procedure, you will be given an Essure ID card. The ID card tells doctors and others that you have Essure inserts. Show the card before having any procedure involving your abdomen, pelvis, uterus or fallopian tube. These include an MRI, D&C, hysteroscopy, endometrial biopsy, or endometrial ablation. Body areas near the inserts may be obscured when they are seen on x-rays, MRIs, and other imaging. Tell your doctor before having any other gynecologic procedures.