Essure
Important Safety Information

Essure is not right for you if you are uncertain about ending your fertility, can have only one insert placed, suspect you are pregnant or have been pregnant within the past 6 weeks, have had your tubes tied, have an active or recent pelvic infection, or have a known allergy to contrast dye. Continue below

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A Closer Look at Different Types of Birth Control for Permanent Contraception

Read through the tables below to get more detailed information on the different permanent birth control methods. Take some time to consider your options and see which method might be right for you and your partner. As always, talk to your doctor before making any decisions about birth control.

Essure®

A soft, flexible insert is delivered through the vagina and uterus and permanently placed in each fallopian tube. No incision is necessary to deliver or place the inserts. General anesthesia is not necessary during the procedure. Over time, a natural barrier forms around the inserts and prevents sperm from reaching the eggs.

Recovery Time

Most women return to normal activities in 1-2 days or sooner

pain/discomfort

  • Cramping
  • Fainting
  • Pain
  • Vaginal Bleeding
  • Nausea/Vomiting
  • Back Pain

proof that method was effective

Yes, it is required. Three months after the procedure, the Essure Confirmation Test confirms you can rely on Essure for birth control. You must use back-up birth control until you receive this confirmation from your doctor.

Tubal Ligation (Getting Your Tubes Tied)

The fallopian tubes are blocked so that sperm is unable to reach the eggs. One of three methods is used to block the tubes:

  • Clamping with metal clips or plastic rings that remain in the body
  • Cutting away a section of the tube
  • Burning a portion of the tube

The procedure requires an incision and is performed under general anesthesia. Gas is used to expand the abdomen. Stitches or staples are then used to close the incision.

Recovery Time

4-6 days or sooner

pain/discomfort

  • Cramping
  • Discharge
  • Pain at the incision area
  • Bruising near the incision area
  • Bloated abdomen and/or sharp pains in the neck or shoulder (due to gas used)
  • Tired and achy feeling

proof that method was effective

None required

Vasectomy (For Him)

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 two vas deferens tubes that propel sperm through the urethra are tied in two places with permanent structures. Between the ties, the tubes are severed using one of three methods:

  • Burning a portion of the tube
  • Cutting the tube
  • Blocking the tube with clips or clamps that remain in the body

Finally, stitches or staples are used to close the cuts.

Recovery Time

2-3 days

pain/discomfort

  • Bruising
  • Pain and swelling in the testicles

proof that method was effective

Yes, it is required. A follow-up sperm count test is performed 3 months after the vasectomy to confirm no sperm are evident. You must use back-up birth control until you receive this confirmation from your doctor.

Essure May Be Available at No Cost!

Do you have health insurance? Find out how to check if Essure is fully covered.

Female Model for Free Essure

What Is Essure?

Learn more about the only non-surgical permanent birth control procedure available.

Essure Implant Coil
Indication

Essure® is permanent birth control that works with your body to create a natural barrier against pregnancy.

Important Safety Information

Essure is not right for you if you are uncertain about ending your fertility, can have only one insert placed, suspect you are pregnant or have been pregnant within the past 6 weeks, have had your tubes tied, have an active or recent pelvic infection, or have a known allergy to contrast dye.

Tell your doctor if you are taking immunosuppressants or think you may have a nickel allergy.

WARNING: You must continue to use another form of birth control until you have your Essure Confirmation Test (3 months after the procedure) and your doctor tells you that you can rely on Essure for birth control. For some women, it can take longer than three months for Essure to be effective, requiring a repeat confirmation test at 6 months. Talk to your doctor about which method of birth control you should use during this period. Women using an intrauterine device need to switch to another method. If you rely on Essure for birth control before receiving confirmation from your doctor, you are at risk of getting pregnant.

WARNING: Be sure you are done having children before you undergo the Essure procedure. Essure is a permanent method of birth control.

During the procedure: In the original premarketing study, some women experienced mild to moderate pain (9.3%). Your doctor may be unable to place one or both EssureĀ® inserts correctly. In rare cases, part of an Essure insert may break off or it may puncture the fallopian tube requiring surgery to repair. If breakage occurs, your doctor may remove the piece or let it leave your body during your period. Your doctor may recommend a local anesthetic. Ask your doctor about the risks associated with this type of anesthesia.

Immediately following the procedure: In the original premarketing study, some women experienced mild to moderate pain (12.9%) and/or cramping (29.6%), vaginal bleeding (6.8%), and pelvic or back discomfort for a few days. Some women experienced nausea and/or vomiting (10.8%) or fainting. You should arrange to have someone take you home after the procedure. In rare instances, an Essure insert may be expelled from the body.

During the Essure Confirmation Test: As one of the confirmation tests requires an x-ray, you may be exposed to very low levels of radiation, as with most x-rays, if this test is used. In rare instances, women may experience spotting and/or infection.

Long-term Risks: There are reports of chronic pelvic pain in women possibly related to Essure. An Essure insert may migrate into the lower abdomen and pelvis and may require surgery for removal. No birth control method is 100% effective. Women who have Essure are more likely to have an ectopic pregnancy (pregnancy outside the uterus) if they get pregnant. This can be life-threatening. The Essure insert is made of materials that include a nickel-titanium alloy. Patients who are allergic to nickel may have an allergic reaction to the inserts. Symptoms include rash, itching and hives.

The safety and effectiveness of Essure has not been established in women under 21 or over 45 years old.

Essure does not protect against HIV or other sexually transmitted diseases.

Talk to your doctor about Essure and whether it is right for you.

Mirena Indications & Usage

Mirena® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD placed in your uterus to prevent pregnancy for as long as you want for up to 5 years. Mirena also treats heavy periods in women who choose intrauterine contraception.

Mirena Important Safety Information

Only you and your healthcare provider can decide if Mirena is right for you. Mirena is recommended for women who have had a child.

Skyla Indication

Skyla® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 3 years.

Skyla Important Safety Information

Skyla does not protect against HIV or STDs.

Only you and your healthcare provider can decide if Skyla is right for you. Skyla is available by prescription only.

For important risk and use information about Skyla, please see the Full Prescribing Information.

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