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Migrating Essure Coils: Is It Possible? Can Essure Coils Move?

migrating-essure-coil-discovered-at-the-time-of-essure-reversalSince we started performing Essure removal and Essure reversal surgery we have performed over 150 Essure surgeries.

Due to our extensive experience with Essure removal surgery we often have inquiries from potential patients about Essure related complications.

One of the most common questions we receive is can the Essure coils migrate (move) out of position?

This photo was taken during one of our Essure reversal surgeries. The Essure coil has migrated out of the wall of the uterus.

Although Essure coils can move they don’t move in the way most people conceptualize.

Essure coil movement

Most Essure coils will not move after they are placed; however, some can move after insertion. The most common reason this happens is because the doctor does not insert the coil far enough  or because the doctor inserts the coil too far into the fallopian tube.

Not inserting Essure far enough

When the coils are not inserted far enough into the fallopian tube the contractions from the uterus or tubal muscle can cause the coils to expel into the uterine cavity. The coils can either remain in the cavity and cause heavier periods and cramping or they can be expelled during a menstrual cycle. The coils are so small they may not be seen when they are leaving the uterus.

We have seen patients who have had coils remain in the uterine cavity after expulsion and we have had to extract them during Essure removal surgery.

Inserting Essure coils too far

Equally likely are the coils may be inserted too far into the fallopian tube. When this happens the contractions from the uterus or the tubal muscle can cause the coils to be expelled into the end of the tube, the pelvis or the abdominal cavity.

Although Essure coil expulsion is not common, it does happen. When it happens it will usually be within the first several days to weeks after the initial insertion procedure.

We have removed Essure coils from the inside the abdomen after they have been expelled from the tube.

Do Essure coils move?

Essure coils can move but it is often because of improper placement. Uterine and tubal contractions immediately after the procedure will cause expulsion of the Essure devices within hours to weeks. Once the coils cause formation of scar tissue they then become securely anchored in the tube and should not move.

Women do not have to worry about delayed migration of coils once they have been confirmed to be in place at the time of the HSG confirmation test.

Essure complications: Migrating Essure coils

We recently helped a patient who wanted reversal of Essure so she could become pregnant again. Her Essure procedure was uncomplicated and her Essure confirmation HSG confirmed her tubes were blocked and the coils seemed to be in the correct location.

Perforating-Essure-device-found-at-time-of-surgeryThe image shows what we found at the time of Essure reversal. The right Essure coil had perforated the uterus near the area of where the right fallopian tube exited the uterus. The left coil was in its proper location inside the tube and cannot be seen in this photo.

We confirmed during surgery her right tube was blocked and we were able to extract the coil and reverse her Essure procedure. After surgery we discussed the findings with her. Looking back she did report more cramping and pain on the right but these symptoms were not felt to be severe.

Likely this happened at the time the Essure coils were inserted. The Essure coil either damaged her tube enough to cause closure or the very tip of the coil remained in the tube enough to cause tubal blockage.

Dr-Monteith-is-an-experienced-essure-removal-surgeon Essure coil removal

Women can be assured they will not experience delayed coil migration.

Any movement of the coils will happen around the time of insertion and once the coils are anchored in place by scar tissue they will usually remain in location.

As this patient’s experience shows, HSG testing may not always be 100% accurate because the HSG x-ray cannot show the Essure placement in relation to the tubes.

If you are someone who experienced an Essure complication, have coils which are not in their proper location, and want your Essure coils removed then give our office a call and one of our nurses can answer any questions you may have.

Readers are welcome to call our office at (919) 968-4656 for more information.

Submitted by Dr. Charles Monteith



76 thoughts on “Migrating Essure Coils: Is It Possible? Can Essure Coils Move?”

  1. Tina says:

    Are there decent financing options on a reversal ?

    1. Dr. Monteith says:

      We have two flexible payment options for you if you dont want to pay in full for surgery: (1) start a prepayment plan with us or (2) finance with either CareCredit or United Medical Credit.

      Prepayment plan. We do have a prepayment plan that allows you to save towards your surgery. You need to start it with at least $500 and you can contribute any amount over the next 3 years. When you have saved the full amount then you can have your surgery. You can have the surgery anytime within 3 years of starting your plan.

      If you dont have your surgery by the end of the third you you are refunded all of your money less $500. Surgery discounts, when available, are offered to prepayment account members only.

      For more information: Tubal Reversal Prepayment Plan

      Financing reversal surgery. We work with two companies who will help you finance surgery. You would apply for financing directly with the companies on our website.

      For more information: Financing Reversal Surgery

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Insurance will not pay for tubal reversal surgery.

      You should send us your tubal ligation records for a free review.

      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. Patients stay in Raleigh a total of 2 nights and 3 days. The consultation is the first day, surgery the second day, and postoperative visit is the third day.

      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. On average, about 2 out of every 3 women become pregnant with tubal reversal surgery.

      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

  2. Anonymous says:

    Have insurance an I live in Texarkana Arkansas could u tell me where the closes doctors are we’re I can get my essure removed.. I had them since 2013 and I have unbearable cramps 2 days after my period an my period last 2 days some times 1 1/2 days.. my pain be on the right side of my pelvic area… help plz

    1. Dr. Monteith says:

      We specialize in Essure reversal and Essure removal. Most of our patients travel to us from out of state. You will not find an Essure reversal specialist in or near your hometown.

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

      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.

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

      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

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