Family PACT

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All About Sterilization: Essure® 

Essure® is a permanent method of birth control.

Essure® is made of small, flexible metal coils that are placed in
a woman’s tubes. The coils cause your body to grow tissue that           
blocks the tubes. Sperm cannot get past the tissue and cannot
get to the woman’s egg.








The coils are small and flexible. 

How do I get Essure®? 

You will first need to get special counseling about this method. You
must sign papers ahead of time saying you want this method because
you do not want children in the future.

After a waiting period, you must go to a provider who is specially
trained to place the coils in your tubes. It will take about a half-hour to     
put in the coils. 


When does Essure® start working?

It takes about 3 months for the tubes to become blocked.

A special x-ray is done by a radiologist to make sure the tubes
are completely blocked. Until your provider is sure the tubes are
blocked, you must use another form of birth control.

How well does Essure® work?

Essure® works very well to prevent pregnancy. Less than one
woman out of 100 will get pregnant.

What do some women like about using it?

  • Once the test shows the tubes are blocked, no other birth
    control method is needed to prevent pregnancy.
  • You don’t need surgery to have the coils put in.
  • You can go back to your normal routine the next day.

What do some women dislike about Essure®?

  • It takes at least 3 months before it starts working.
  • Once the coils are put in, you cannot change your mind.
    It cannot be reversed.

The provider puts the coils into the
woman's tubes.



How are the coils put in?

  • The provider will put an instrument with a tiny
    camera into your vagina and up through your
    cervix and into your uterus.
  • Then the provider will put one coil into each tube.  

You may feel some cramping.

The provider will put one coil into each tube. 

Make sure your tubes are blocked.

Once the coils are in place:

  • Your body will start to grow tissue that will
    block the tubes.
  • You must use another method of birth control
    until your provider says your tubes are
    completely blocked.

After 3 months:

  • Your provider will order a special test to make
    sure you cannot get pregnant.
  • During this test, a radiologist will put some
    liquid dye through a plastic tube into
    your uterus.
  • He or she will then take an x-ray to see if your
    tubes are blocked.

Are there any problems after the
coils are put in?

There are no known major health problems
from using the coils.

Most women don’t have any problems after
the coils are put in. A few women may have
these problems:

  • They may have pain, cramping, or
    nausea on the day it is done.
  • The provider may not be able to put the
    coils into the tubes.
  • The tubes may not be blocked after 3
  • Very rarely, a coil may not stay in place.

Essure® may not be right for
some women.

Talk to your Family PACT provider about any
concerns or health problems you may have.
For example:

  • You might want to have children in the
  • You have or have had a pelvic infection
    (called PID) in the last few months.
  • You are sensitive or allergic to nickel.
  • You are sensitive or allergic to shellfish,
    iodine, or contrast fluid.
  • You have had a tubal ligation in the past.



Essure® will not protect you from HIV (the virus that
causes AIDS) or other infections people get from having sex.

If you have a new sex partner or you think that your partner has other partners, use condoms
(for men or women) when you have sex to help protect yourself from these infections.

© 2009 Department of Health Care Services, Office of Family Planning. All Rights Reserved.                                                                                 
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