Essure: Overview, Benefits and Risks

The Essure system refers to a permanent birth control in women. When we say permanent, we mean that this is the process that cannot be reversed in any circumstance.


This process to cause sterilization in women involves the following: 

  • Placing small metal fibres or fibre coils in the fallopian tubes.

  • This process creates a scar tissue that stops the egg from ever reaching the egg. 

  • During the process, a hysteroscope is moved through the vagina and the cervix along with a flexible tube. 

  • Once the apparatus has been set up, it takes up about 3 months for the system to stop pregnancy. However, there have been cases where the process takes up about 6 months

It is also prudent to remember that this form of contraception is not meant to protect you from sexually transmitted diseases; it only protects you from getting pregnant. 

What are the benefits for opting Essure System?

An Essure system has the following benefits:

  • The fail rate of this procedure is about 0.1 percent which is extremely low.

  • This can be done at the doctors’ office and there is no need for anaesthesia in some cases.

  • Once the procedure is complete, you can proceed to go about your daily activities quickly.

  • There is an incision on the skin once the process is complete.

  • Once you have this contraception, you won’t need to buy anything else that does the same > However, you will still need to have access to contraceptives that can protect you against STDs.

What are the cases in which Essure system is not recommended?

The following are the conditions in which this procedure is not recommended for you:

  • In case you want to get pregnant again in future, you should not take up this operation.

  • In case you have an allergy towards metals, you should take up this procedure. Therefore, you should take an allergy test before opting for this procedure. 

  • If you are allergic to the contrast de that is done before the MRI, then you should stay away from this procedure.

  • In case you are suffering from some sort of autoimmune disease.

  • In case you have had either a baby or an abortion over the past six weeks.

  • You have had any recent pelvic infection.

  • If you have a health condition where the fallopian tubes are tangled up together, a proper assure cannot be performed on you.

  • If your tubes are tied. I.e. that you have had a tubal ligation.

What are the risks involved with this procedure?

The procedure has the following risks associated with this:

  • Pain in the pelvic region.

  • There can also be an allergic reaction. 

  • There can be instances of a heavy period and spotting during the time of ovulation.

  • There can be several infections from the procedure. 

  • The metallic part can actually perforate the uterus or the fallopian tubes. 

  • There also can be a case where the coils can actually shift in the abdominal cavity and eventually cause you immense pain.

Preparing for the procedure

Before you lie down for the procedure, there are some things that you need to concern yourself with:

  • Make sure that you inquire about each and every detail associated with the procedure including the best time to take it up.

  • Get yourself acquainted with all the side effects and the risks.

  • Makes sure that you are also aware of all the reasons that this procedure might fail.

  • You will need to take up other contraception after the procedure. As it won’t be activated anytime in the next 3 months.

  • You should know that the procedure will not protect you from sexually transmitted diseases. Therefore, you will need to stick to conventional contraceptives like condoms.

During the procedure:

The procedure will take around 30 minutes and within this period, you would be given anaesthetics or pain medications in order to reduce the spasm in the fallopian tubes. The process involves the following:

  • The doctor is going to place the Essure system inside your fallopian tubes using hysteroscope as a guide.

  • Once the system is placed, the tube is gently removed and you will be free to go home. 

After the procedure

Once the procedure is over with, you are free to go home. However, once you are there, you might encounter some issues like the following: 

  • Abdominal Pain

  • Cramping

  • Nausea or vomiting due to the effects of the medication.

In case any of the symptoms are happening to you in severity, you should contact your gynecologist as soon as possible.


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Dr. Madhu Goel

Senior Gynecologist and a Senior Consultant

Dr. Madhu Goel is a well renowned senior gynaecologist and a senior consultant at Fortis La femme, New Delhi. She runs a private consultation in Goel’s surgery and Gynea centre and prior to being associated with Fortis; she was a consultant a Rockland Hospital.