Tubal Ligation Reversal Blog

Essure Tubal Sterilization

What is Essure?

Essure is a mechanical device that blocks the fallopian tube at the uterus.Essure is a permanent birth control device that has recently become available as an alternative to traditional tubal ligation methods. The spring-like device is inserted through the uterine cavity into the tubal openings using a hysteroscope. This can be done as an in-office procedure. The device expands to fill the tubal opening and then becomes scarred into place, forming a barrier so that sperm cannot reach the egg. Because of the scar formation, it cannot be pulled out of the tube. It is advertised by the manufacturer as a permanent method of birth control. In this respect, it is similar to other tubal ligation methods that are considered by most doctors to be permanent.

Is Tubal Reversal Possible For The Essure Device?

I perform 4 tubal reversal procedures each day at Chapel Hill Tubal Reversal Center. The women who come here have all varieties of tubal ligation methods. Today, one of the patients had the Essure sterilization method. When she chose this form of tubal sterilization, she was unaware that she would become remarried and want to be able to try to have a child with her new husband.

Inserting the fallopian tube into a new opening in the uterus is called tubouterine implantation.Although I could not find any previous references regarding attempts to reverse the Essure procedure, I agreed to attempt to perform a reversal for her. The way I did this was to cut the device out of the uterine muscle and then implant the remaining fallopian tube into the uterine cavity through a new opening in the uterus. This procedure is called tubouterine implantation.

The reason I removed the device was that part of the metal spring projects into the uterine cavity. If a pregnancy were to occur with the device in place, this could be harmful to the pregnancy. To my knowledge, this is the first time that the Essure sterilization procedure has been reversed.

Answers To Common Questions About Essure Reversal

We have provided answers to common questions about Essure reversal in the following blog article,  Essure Reversal: What You Need To Know .

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195 thoughts on “Essure Tubal Sterilization

  1. Dr. Monteith

    We have done many Essure reversals and the pregnancy rates range from 25 to 50%. At the age of 46 I would recommend IVF with donor eggs as your best chance of becoming pregnant. The chance of pregnancy would be 50%. The chances of pregnancy after Essure reversal at the age of 46 is likely less than 10%.

  2. Sue

    I am 46 and had the essure implants around 7 yrs ago.
    How many reversals of essure implants have you done since 2007 and how many were successful?

  3. Dr. Monteith


    Yes you should be concerned about ectopic pregnancies with any pregnancy after a sterilization procedure. We do not know enough about pregnancies with the coils in place to provide any helpful information about pregnancy prognosis. Your doctor should be able to help walk you through these concerns.

  4. Jennifer Cutright

    I had the Essure procedure about 6 yrs ago due to a history of cervical cancer and numerous treatments leaving me with little or no cervix. I made this deciosion due to fear of miscarriage or problems in pregnancy if I were to become pregnant. I was promised this procedure was permanent and totally reliable in preventing pregnancy. Although I was informed that no birth control is 100% effective I was sure my chances were slim to none. Its been 6yrs, a missed pregnancy and positive test later. My doctor cant see me for 2 weeks. My question is how concerned should I be about a tubal pregnancy? If it did manage to pass to the uterus and attach how safe is it to attempt to complete the pregnancy with the coils still in place and believed to be blocked? How often does pregnancy occur with so called successful implants aftger 6 years? Any imput/advice on this would be greatly appreciated. Thanks!!

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