Risks associated with the Essure system include:
- Tubal blockage occurring on only one side
- Perforation of the uterus or fallopian tubes
- Pelvic pain
You may not be able to have further pelvic electrosurgical procedures, such as some types of endometrial ablation, after having the Essure system implanted.
The Essure system doesn't offer protection from sexually transmitted infections (STIs).
In the first year after implantation of the Essure system, fewer than 1 out of 100 women will get pregnant. The risk of unintended pregnancy is likely highest during the first three months after the placement of the Essure system.
If you do conceive after having the Essure system inserted, there's a higher chance that the pregnancy will be ectopic — when fertilization happens outside the uterus, usually in a fallopian tube.
Dec. 16, 2014
- Hatcher RA, et al. Contraceptive Technology. 20th ed. New York, N.Y.: Ardent Media; 2011:249.
- Greenberg J. Hysteroscopic sterilization. http://www.uptodate.com/home. Accessed Oct. 26, 2014.
- Essure (prescribing information). Milipitus, Calif.: Bayer Healthcare LLC; 2012. http://www.essuremd.com. Accessed Oct. 28, 2014.
- Adelman MR, et al. Management of complications encountered with Essure hysteroscopic sterilization: A systematic review. Journal of Minimally Invasive Gynecology. 2014;21:733.
- Jost S, et al. Essure permanent birth control effectiveness: A seven-year survey. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2013;168:134.