What you can expect

By Mayo Clinic Staff


The Essure system is usually implanted as an outpatient procedure. The procedure typically takes about 30 minutes or less. You may be given medication before the procedure to minimize spasm of your fallopian tubes.

During the procedure

Your health care provider will insert a hysteroscope — a thin tube equipped with a camera lens — through your vagina and cervix into your uterus and then fill your uterus with fluid. This will allow your health care provider to check to make sure both fallopian tube openings are accessible. Using a small catheter attached to the hysteroscope, your health care provider will place tiny coils inside your fallopian tubes.

After the procedure

You may be allowed to go home immediately following the procedure and return to your normal activities the same day. Side effects may include:

  • Abdominal pain
  • Bleeding or spotting
  • Cramping
  • Dizziness or lightheadedness
  • Nausea or vomiting

Contact your health care provider immediately if:

  • You have severe or persistent pelvic pain
  • A coil comes out of the vagina

During the three months following the procedure, you must use another method of contraception. After three months, you will have an X-ray (hysterosalpingography) or an ultrasound to confirm the correct placement of the Essure system and verify that your fallopian tubes are blocked. If the procedure is successful, you can stop using other forms of birth control at this point.

If you think you're pregnant at any time after the procedure, contact your health care provider immediately.

The Essure system isn't reversible. In addition, because a portion of the coil protrudes into the uterine cavity, the Essure system may interfere with the success of in vitro fertilization (IVF).

Jan. 12, 2012