Essure Micro-Insert

essureEssure is a method of permanent birth control for women. Most current methods of female sterilization (e.g., tubal ligation) require laparoscopy with general anesthesia, exposing the patient to the inherent risks of a surgical procedure and requiring a period of postoperative recovery. The Essure procedure involves the placement of a small metal coil into each of a woman’s fallopian tubes. The doctor implants the coils by threading them through the vaginal opening. This procedure does not need general anesthesia and cutting. Over a 3-6 month period, scar tissue forms over the coils, blocking the fallopian tubes so that sperm can not reach and fertilize a woman’s egg. 

The Essure permanent birth control system is designed to provide a non-incisional alternative for women seeking sterilization. By offering Essure to your patients, you will be using breakthrough technology which has overcome the historic obstacles to hysteroscopic sterilization. In clinical testing, the total procedure took about 35 minutes, with only 15 minutes required to place the micro-inserts into the fallopian tubes. Most women were able to leave the facility 45 minutes after the procedure.

During the first three months, the Essure device is not fully effective, and couples must use another type of birth control. The woman needs to do special type of x-ray to confirm that fallopian tubes are completely blocked.

The Essure procedure has undergone significant clinical testing in the United States, Europe, and Australia. Data from clinical testing show that: Essure was 99.80% effective in preventing pregnancy after three years of follow-up and 92% of women who trust on Essure rated their long term comfort with as “good” as “excellent” at three year of follow-up. Moreover, women can back to their regular activities in 1-2 days.

As each method this one also has some side effects. The coils may be difficult for the doctor to insert properly, or they may be expelled from the uterus. In clinical studies, about a third of women experienced cramping or pain surrounding the insertion procedure. Also Essure may not be suitable for all women and of course there risks associated with this methods of contraceptive. Like all methods of birth control, the Essure procedure should not be considered 100% effective. Also you must use another method of birth control for at lease three months after the procedure. Not all women who undergo the Essure procedure will achieve successful placement of both micro-inserts.

The Essure procedure is newer than other procedures. It consists of a stainless steel inner coil, a nitinol, super-elastic outer coil, and polyethylene (PET) fibres. The PET fibres are wound in and around the inner coil. The micro-insert is 4 cm in length and 0.8 mm in diameter in its wound down configuration. When released, the outer coil expands to 1.5 to 2.0 mm to anchor the micro-insert in the varied diameters and shapes of the fallopian tube. The Essure micro-insert in expanded state at the distal end of the delivery system. The micro-insert is soft, flexible, and form-fitting.