Frequently Asked Questions

Common questions about Essure permanent birth control

Essure is a highly effective non-surgical, non-hormonal permanent birth control method. Whether you're learning about permanent birth control for the first time or visiting our site for the hundredth time, you probably have questions. Take a look at some of the most frequently asked questions about Essure.

About Essure

What is Essure?

Essure is a permanent birth control procedure that works with your body to create a natural barrier against pregnancy. The Essure procedure involves placing soft, flexible inserts into your fallopian tubes. Over a period of about 3 months, a natural barrier forms around the inserts. This barrier keeps sperm from reaching the eggs and prevents conception.

How effective is Essure?

Essure is over 99% effective.*

How long has Essure been available?

Essure has been FDA-approved and available in the US since 2002.

What are the benefits of Essure?
  • Non-surgical - Essure is a short 10-minute procedure that can be performed right in your doctor's office. There's no downtime to recover-most women go home within 45 minutes and resume normal activities within 1-2 days
  • Non-hormonal - Essure inserts do not contain or release hormones
  • Proven - Essure is over 99% effective*
  • May be available at no cost - Essure may be covered by your health insurance plan at no cost. Some restrictions may apply. Learn more
  • FDA-approved and has been available for over 10 years
Is Essure right for me?

Essure might be right for you if:

  • You are certain you do not want any more children
  • You desire a permanent birth control
  • You prefer a method or procedure that:
    • Does not take a lot of time
    • Does not require surgery or general anesthesia
    • Does not contain hormones
Has Essure been reviewed by the FDA?

Essure was approved by the FDA in 2002 and has been available for over 10 years. As with all FDA-approved products, safety data and patient experiences for Essure are routinely reviewed by the FDA. The information is available on the FDA website. Click here to read more information from the FDA about Essure. As always, talk to your doctor to find out if Essure is right for you.

About the procedure

How does Essure work?

Essure is a permanent birth control procedure that works with your body to create a natural barrier against pregnancy. The Essure procedure involves placing soft, flexible inserts into 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.

Learn more about how Essure works.

What are the Essure inserts made of?

The soft, flexible Essure inserts do not contain hormones. They are made from some of the same material that is used in heart stents and other medical devices.

The Essure insert is made of materials that include a nickel-titanium alloy. Those allergic to nickel may have an allergic reaction to the inserts. Symptoms include rash, itching, and hives.

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

There is a small amount of nickel in the Essure inserts. Patients who are allergic to nickel may have an allergic reatction to this device. In addition, some patients may develop an allergy to nickel after Essure is implanted. Symptoms include rash, itching, and hives.

Is the procedure painful?

Some women report mild discomfort, pain or cramping, similar to a normal monthly cycle during or after the procedure.

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?

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

What are the risks or considerations?

As with all procedures, there are risks and considerations associated with Essure:

Click here or see the patient information booklet.

Is Essure covered by insurance?

Essure is covered by many health insurance providers, including Medicaid. Essure may be covered by insurance without co-pays, deductibles, or out-of-pocket costs under the Women's Preventative Services provision of the Affordable Care Act. Click here to find out more.

Is Essure easily reversible?

No. Like other forms of permanent birth control, including tubal ligation and vasectomy, Essure should not be considered reversible. 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 last 6 weeks. Essure has not been evaluated in women less than 12 weeks after pregnancy. Speak with your health care provider about what's right for you

After the procedure

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

There is no downtime to recover-most women go home within 45 minutes. You'll be able to return to normal activities within 1-2 days

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

Yes, you will still have your normal menstrual period. Some women report slightly lighter or heavier bleeding than usual, but these changes might be the result of discontinuing hormone-based birth control and returning to your normal cycle.

What is the Essure Confirmation Test?

The Essure Confirmation Test is a very important test that confirms that the inserts are placed correctly, your fallopian tubes are blocked, and pregnancy is permanently prevented. Using contrast dye and a special type of x-ray, your doctor administers the Essure Confirmation Test 3 months after you've had Essure placed. Once you get confirmation from your doctor that your Essure inserts are placed correctly and your tubes are blocked, you can start depending on Essure to prevent pregnancy.

Learn more about the Essure Confirmation Test.

Do I need an Essure Confirmation Test?

Yes. After your Essure procedure, it usually takes about 3 months for your body to form a natural barrier around the inserts to block your fallopian tubes. However, it could take longer. That's why you need this test. It tells you for sure whether your inserts are placed correctly and your tubes are totally blocked. And when it comes to birth control, being sure is important!

Learn more about the Essure Confirmation Test.

Can I have an MRI after having the Essure procedure?

Essure can be safely scanned with MRI only under specific conditions.  Before you have an MRI, tell your Healthcare provider that you have Essure. 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 when undergoing any procedure involving your 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.

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 when undergoing any procedure involving your 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.



*Based on a 5-year clinical study data.

Next: Safety

Report any adverse events or product technical complaints involving the Essure system immediately by calling 877-ESSURE1 (877.377.8731).
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You are now leaving the essure.com website.
Bayer HealthCare Pharmaceuticals, Inc. is not responsible
for the content presented by any independent website,
including any advertising claims, special offers,
illustrations, names, or endorsements.