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Essure Reversal: The First Doctors To Prove It Could Be Done

Essure tubal ligations are intended to be permanent, but we have perfected Essure reversal at A Personal Choice and can provide women the ability to become naturally pregnant again after Essure.

We were the first doctors in the world to publish successful reports of full term pregnancies after surgical reversal of both Essure and Adiana tubal ligation procedures.1-2

Essure: How Does It Work?

During an Essure procedure a small metal coil is placed inside the opening of each tube.

Essure-reversals-are-possibleThis causes the fallopian tube to heal closed by the formation of scar tissue inside the tube.

The scar tissue formation causes the fallopian tube to close from the inside but only in the very beginning of the tube.

The Essure coils are intended to permanently remain in the fallopian tubes after the scar tissue has formed.

Reversing Essure: We Were The First!

Dr. Charles Monteith and Dr. Gary Berger, the expert tubal reversal surgeons at A Personal Choice, published the first reports of successful reversal and pregnancy after both Adiana and Essure reversal in the peer reviewed medical literature. 1,2

These newer tubal ligation procedures are safely reversed at our specialty center through a 90 minute, outpatient operation called tubouterine implantation.

gold-standard-for-essure-reversalTubouterine implantation is the gold standard for the reversal of proximal tubal occlusion and tubal blockage from Essure.

During a tubouterine implantation procedure, the healthy portion of each fallopian tube is separated from the uterus. The Essure coils are then removed to prevent complications with future pregnancies.

An incision is then made through the uterine muscle in a unscarred area of the uterus and the healthy portion of each tube is inserted into the uterine cavity. The uterine incision is then closed around the newly inserted tubes. The tubouterine implantation procedure is necessary to bypass the scarred portion of the fallopian tube caused by the Essure procedure.

Chances Of Pregnancy After Essure Reversal

We performed 90 Essure reversals between January 2009 and June 2013.

We allowed each patient 12 months of attempting pregnancy before including them in pregnancy success statistics. The 12 month follow-up has been completed on 56 patients and 16 of these patients have reported pregnancy.

The chance of pregnancy 12 months after Essure reversal surgery is 29%.

To view our updated and most current Essure reversal statistics: Reversing Essure Sterilization: Statistics Update.

Essure Reversal or IVF: Which Is Best?

The chance of pregnancy after in-vitro fertilization (IVF) is approximately 36%.The chance of pregnancy after Essure reversal at our center is 29%.

There is no data to suggest what the success rate of IVF is when the Essure coils are left in place. Several case reports do exist of successful IVF with Essure coils left in place.4,5

If the Essure coils project into the uterine cavity this may decrease the success of IVF. If the coils are left in place this may increase the risks of a pregnancy complication.

There are no good medical studies to suggest what the success rate of IVF is when the Essure coils have been left in place. There are no good medical studies on the risk of pregnancy with the Essure coils left in place.

Costs of Essure Reversal

The cost of Essure reversal is $7500 at our specialty center.

surgeons-who-can-reverse-essureThis fee is all-inclusive and covers the pre-operative consultation,  surgery to reverse Essure, anesthesia, and the postoperative recovery.

In comparison, the average cost for a single IVF treatment cycle in the US is $12,000.

Most health insurances will not cover the cost of IVF or sterilization reversal. We offer a tubal reversal pre-payment option that allows patients to pay towards their reversal surgeries over time.

Is Essure Reversal Safe?

Tubouterine implantation can be safely performed as an outpatient procedure but may increase the risk of uterine rupture during labor.

Of the 90 Essure reversal surgeries we have performed, there have been no immediate surgical complications, no Essure reversal patient has reported an ectopic pregnancy, and no patient has reported a uterine rupture. One patient was seen by her doctor for abdominal pain 3 days after reversal surgery but otherwise had an uncomplicated post-operative course and a healthy, full term pregnancy.

None of our patients has had a complication from delivery after Essure reversal.

For maximal safety of both mother and baby, we advise our Essure reversal patients to have a scheduled cesarean delivery with future pregnancies to minimize the possible risk of uterine rupture. 6-8

More Information About Essure Reversal or Essure Removal

For more information about the cost of Essure reversal, please visit Tubal Reversal Cost.

If you have any questions about Essure reversal or Essure coil removal then please call and speak with one of our nurses for a free Essure reversal consultation (919) 968-4656.

Readers are also welcome to ask Dr. Monteith questions by submitting them through our Ask The Doctor section of our website.


1. Normal pregnancy after outpatient tubouterine implantation in patient with Adiana sterilization. Monteith CW, Berger GS. Fertility Sterility 2011;Jul 96(1) 45-6.

2. Successful Pregnancies After Removal of Intratubal Microinserts. Monteith CW, Berger GS. Obstet Gyncecol 2012;119:470-472.

3. 2010 Assisted Reproductive Technology Report. Centers for Disease Control and Prevention. 2010 National Report.

4. Successful pregnancy outcome with the use of in vitro fertilization after Essure hysteroscopic sterilization. Kerin JF, Cattanach S. Fertility Sterility 2007; May 87(5) 1212.

5. Essure multicenter off-label treatment for hydrosalpinx before in vitro fertilization. Galen DI, Khan N, Richter KS. J Minim Invasive Gynecol 2011; May-June;18(3):338-42.

6. Uterine rupture following tubal reimplantation. Review of the literature and report of three additional cases. Shortle B, Jewelewicz R. Obstet Gynecology Surv 1984 Jul;39(7):407-15.

7. Uterine rupture after tubal reimplantation. Horovitz J et al, J Gynecol Obstet Biol Reprod (Paris) 1988;17(5):650-2.

8. Uterine rupture after re-implantation of fallopian tubes. Brandt CA, Larsen B. Acta Obstet Gynecol Scand 1989;68(3):281-2.

Need More Information About Tubal Reversal?

A Personal Choice Tubal Reversal Center is in Raleigh, North Carolina and specializes in tubal ligation, Essure, and vasectomy reversal surgery.

Dr. Monteith specializes in helping couples have more beautiful children with reversal surgery and helping women treat abnormal symptoms after their tubes have been tied!

If you would like more information about reversal, including the cost and success rates, then enter your email address below and you will be emailed more information about reversal.

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Join Our Facebook Group?

Women who need more advice about reversal are encouraged to join A Personal Choice’s public Facebook group:

Facebook Tubal Reversal Group of A Personal Choice

By joining the group you can communicate with other women who have had successfully reversed their tubal ligation and restored their natural fertility.

Have Questions? Leave a comment here or visit our contact page.


Karen Reply

Is there a Dr in Long Beach, California that is able to do the essure reversal?

    Dr. Monteith Reply

    We have not seen many women who have had successful Essure reversal from doctors on the West Coast. You can find doctors who can do Essure removal but we are not certain about West Coast doctors who can do Essure reversal.

    We specialize in Essure reversal and Essure removal surgery. We can reverse Essure and give you the chance of pregnancy….or we can remove Essure and leave your tubes closed. The chance of pregnancy after Essure reversal is about 40%.

    More information: Essure reversal testimonials

    The cost is the same $7,500. We are located in Raleigh, North Carolina.

    Please be aware that starting April 1st 2019 the fee for Essure reversal surgery will increase to $7,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

    No other clinic or doctor has the experience we do. The chance of pregnancy after Essure reversal is about 40%. If you are having symptoms that started soon after Essure most patients report improvement after removal of the devices. We do have a surgery prepayment plan.

    More information: Successful Essure reversal with Dr Monteith

    We charge a total of $7,500 for Essure reversal/removal plus $125 to schedule surgery. If you use our prepayment plan then you can contribute any amount as you are able but you must have the surgery paid for by three years. We do work with two financing companies and we do have a prepayment plan.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

    Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

Lily Alvarez Reply

Need information

    Dr. Monteith Reply

    We will email you more information. We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

    On average the chance of pregnancy after tubal ligation reversal is about 60%.

    We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

    Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

    The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

    Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

Loida Reply

Me esterelice a se 17 años hoy mi más grande deceo es tener un hijo por favor necesito de la ayuda de ustedes me siento incompleta siento que como mujer no valgo nada

    Dr. Monteith Reply

    Call us next week at (919)968-4656 and ask to speak with Kaycee. She speaks Spanish and can help you.

V. Allard Reply

I had my essure procedure done about 6 years ago. I am now 35 and in a new relationship with a wonderful man and would love to have a child. I have gained weight I have not been able to shed, plus cramps that prevent me from sometimes getting out of bed, since Ive had the essure. I also recently donated bone marrow and have mild anemia and will have it until marrow is replenished. My concern is I dont plan on having more than one child. Would this be an option or would IVF be worth a shot?

    Dr. Monteith Reply

    This is a difficult question because the chances of pregnancy success are very similar with the two options. The main problem is that IVF is more expensive than Essure reversal and we are not exactly sure what the chances of success are with IVF when the coils are in place.

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