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Essure Removal


Women who come to our center for Essure coil removal do so because they are having Essure side effects and they strongly desire to preserve their uterus and avoid hysterectomy.

We performed our first Essure coil removal procedure in 2009. Since this first procedure, we have performed over 150 surgical procedures to either reverse Essure or remove Essure coils. Due to our experience with removing Essure, we have gradually perfected our technique so the risk of leaving coil fragments inside the uterine cavity or uterine muscle has been greatly reduced. Many of our patients are also concerned about reactive scarring and inflammation around the coils. Not only are we able to remove the coils intact, but we are also able to remove both the coil and surrounding tubal muscularis, while at the same time minimizing damage to the uterus and most of the tubal blood supply.

What is Essure?

Essure is a newer form of female sterilization, which was approved for use in the United States by the FDA in 2002.

Essure can be removed during a 45 mintue outpatient surgery.During an Essure procedure a small micro-insert composed of two metallic coils is placed inside the opening of each fallopian tube. This causes the tube to heal closed by the formation of scar tissue around the coil and inside the tube. This blockage only occurs in the very beginning of the fallopian tubes.

The Adiana procedure is similar to, but not as common as, Essure. Adiana has been removed from the market and is no longer being performed.

Over the next 10 years over 750,000 Essure procedures would be performed. We began seeing inquires for Essure reversal and Essure removal in 2008 and performed our first Essure coil extraction in 2009. From 2009 to 2014, we have performed over 150 Essure removal surgeries.

Essure side effects

Patients who come to us for Essure removal do so because they began experiencing side effects soon after their Essure procedure.

Most patients who come to our center for treatment do so because of persistent pain and cramping after Essure and these symptoms have not quickly resolved. Others report systemic symptoms of generalized skin rash and joint pain.  A few patients have also been diagnosed with other rheumatologic and endocrine conditions; chronic pain, rheumatoid arthritis, and thyroid dysfunction. These patients are often uncertain if Essure caused these abnormalities and they request removal to be certain there is no correlation. They are often realistic in their expectations when they came to us and they chose coil removal to help them diagnose the real cause of their symptoms.

Many women are told they cannot be experiencing side effects after Essure but FDA statistics do support the existence of both Essure related complications and Essure related side effects.

For more information: Essure side effects: FDA statistics

Many women who experience side effects after Essure are often advised by their medical providers to have a hysterectomy or to have their fallopian tubes removed. We do not perform hysterectomy at our center and we do not remove fallopian tubes because of Essure side effects.

Women who come to our center do so because they strongly want to avoid a hysterectomy and prefer to have the Essure coils removed instead. They come to us knowing they are coming to a surgeon who has removed more Essure devices than any other single doctor.

Meet Dr. Monteith

As a surgeon my reputation & integrity are extremely important to me. I’ve been providing new choices & new beginnings since 2008. I’ve had the distinct privilege of being the first surgeon in the world to report successful pregnancy within the peer reviewed medical literature after reversal of transcervical hysteroscopic tubal sterilization. Permanent is not forever at my practice! HAVE QUESTIONS?

Removing Essure coils: A Personal Choice

Essure coils can be removed.We have extensive experience with removing Essure coils. We have perfected our technique over time and now can remove the coils intact, without fragmentation, and with the surrounding scar tissue. Many patients will request we leave their fallopian tubes as normal as possible and maintain the tubal blood supply. Our extraction technique has been developed with these patient requests in mind. Very often we can maintain the tubal blood supply during the Essure coil extraction and remove the coils intact.

Our Essure coil removal surgery is performed as an outpatient procedure under general anesthesia. Utilizing a small 3 to 5 inch incision just over the pubic hairline we can remove both Essure micro-insert devices and the surgery is often under an hour. Many patients can return to work within 1 to 2 weeks after having their Essure coils removed.

For more information on our Essure removal statistics:
Essure removal statistics at A Personal Choice

Can removing Essure help?

The existing Essure studies suggest the chance of having an Essure related side effect one year after the procedure is less than 3%. Most women can be reassured they will not have a complication related to Essure; however, larger prospective studies on the typical use of Essure will need to be performed to more precisely define the risk of side effects, device failure, and the chances of coil migration.

Most women who experience symptoms after Essure will have these symptoms resolve within the first week of insertion. If your symptoms started soon after Essure and do not resolve within the first several weeks then there is a greater chance removal of the Essure coils alone will improve the symptoms you are experiencing.

If your symptoms started years after Essure insertion then it is less clear if Essure is the cause of these symptoms.

We encourage women who are experiencing symptoms to be evaluated by their doctors for other possible causes before considering surgery to remove Essure devices. If other causes cannot be determined then it is reasonable to consider Essure coil removal.

Procedure for removing Essure

For patients who are having symptoms from Essure, want their coils removed, and who do not wish to become pregnant, we recommend Essure removal and tubal occlusion.

This procedure takes less than 60 to 80 minutes and is performed under general anesthesia. An opening is made into each fallopian tube immediately over the Essure coils. The coils are then removed and care is taken to remove the coils intact with the surrounding tubal scar tissue. Care is taken to cause minimal disruption to the tubal anatomy and blood supply.

Each end of the opening created in the tube is then closed (occluded). The closed ends are left minimally separated in the area where the coils were removed to decrease the possibility of pregnancy.

If you are seeking Essure removal because of pain and cramping then we recommend Essure removal alone and tubal occlusion.

When the problems have started soon after Essure insertion then Essure removal and tubal occlusion should help the majority of women who are having Essure related problems.

Removing Essure devices: Is pregnancy your goal?

If pregnancy is desired then we recommend Essure reversal utilizing a tubouterine implantation procedure to provide both the best chance of pregnancy and the lowest risk of tubal pregnancy.

For more information: Recommendations on Essure removal from Dr. Monteith

Essure problems: We can help youEssure can often be removed through a small incision.

Many women have been told they need to have a hysterectomy to treat Essure related symptoms.

Although a hysterectomy may help with Essure side effects, a hysterectomy is an overly aggressive treatment for Essure problems and has greater risks of complications. We have found Essure removal alone will help many of our patients who are experiencing Essure related problems.

For more information about the cost of Essure removal, please visit: Cost of Essure removal

More information about Essure removal

As a result of our specialization, we have extensive experience with Essure removal. We have created a new section of our website dedicated to providing health care providers with more information about our practice, tubal reversal surgery, and Essure removal.

If you are a referring health care provider and would like more medically detailed information about Essure removal we encourage you to visit: For Physicians

Have Questions? We’re Happy To Help!

We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.

What Our Patients Are Saying

“We had our surgery on 3/18/15 and on 02/02/16 our 7 pound 11 oz baby girl was born! I’m 34 years old and had tubal ligation done via clamps 8 years prior so this surgery really does work! 8 years later I had the reversal and 9 years later we were blessed with our little girl! So many doctors tried to talk us out of it-wanted us to do IVF to get our money-however praise God we went with this because it does WORK! Dr M is amazing and his staff! The area is beautiful where his office is, and if you do this procedure it will be the best money you ever spend!”

– Charlee-Belle M., Surgery

“From the very first phone call, the staff at A Personal Choice has been amazing! They have answered our numerous questions, concerns and have been amazing. They never give you false hope, but give you the complete story. I am so happy that we chose Dr. Monteith and his staff to make our dreams a reality. Can’t wait to start trying to have a baby. I would and have recommended Dr. Monteith to ANYONE wanting a tubal ligation or vasectomy reversal. Thank you all so much for giving us this chance!”

– Angela W., Essure Reversal

“Excellent service overall! Each stage of the process was carefully explained in great detail: how the procedure works, what to expect during the procedure, what to expect after, possible side effects. Dr. Monteith himself is very knowledgeable and experienced and quite personable too. He has a great sense of humor and uses it generously to put patients at ease. I highly recommend him and his staff to anyone considering either a vasectomy or a vasectomy reversal.”

Chris B., Vasectomy Reversal

“The perfect little angel that I’m holding in my arms right now is the best testament to what Dr. Monteith and his staff do for people. We could not be happier with our decision to use Dr. Monteith. His staff are just amazing. Our entire experience was just a dream! Thank you, from the bottom of our hearts, thank you!”

Jamie B., Reversal of Cut & Tied Tubes


Ask The Doctor

Your questions about reversal surgery will be answered directly and promptly by Dr. Monteith. Please read our most frequently asked questions before submitting your questions. Dr. Monteith will not respond to general medical questions or if you are a patient of another doctor and are contacting him because your doctor is unavailable.* If you have been a patient at our reversal center and have specific questions about your medical care you should contact the reversal staff directly at (919) 977-5050.

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If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

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