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Essure Reversal
Pregnancy Statistics

A Personal Choice
Experts in reversing Essure

From January 2008 to May 2014, we performed one hundred and forty-three (143) tubal surgeries to correct either Essure or Adiana sterilization. Of the 143 women who sought treatment from our center, one hundred and thirty-nine (139) had tubal blockage from Essure sterilization.

Of the 139 patients who came for Essure removal, 97 women requested Essure reversal to become pregnant and 39 women wanted Essure removal only for treatment of symptoms after Essure. All surgeries were performed as outpatient procedures at our specialty center.

In December of 2014, we published the pregnancy results of the above patients in the Journal of Obstetrics and Gynecology: Pregnancy Success After Hysteroscopic Sterilization Reversal.

Essure reversal pregnancy statistics
Our data

The average Essure reversal patient was 36 years of age but patients ranged in age from 25 to 46 years of age.  Patients had an average of 2 children before having Essure sterilization; however, some patients had never had a child before having Essure and one patient had as many as 6 children before having Essure sterilization.

Patients waited an average of 4 years after their Essure procedure before having Essure reversal surgery; however, one patient sought Essure reversal 4 months after having Essure and another patient sought reversal 8 years after having Essure.

The average Body Mass Index (BMI) was 26 kg/m2 but ranged from a BMI of 18.4 kg/m2 to a BMI of 36.8 kg/m2.

Essure reversal
Surgery time and blood loss

Most Essure reversal surgeries were less than 90 minutes. Our quickest Essure reversal surgery time was 51 minutes and our longest Essure reversal surgery time was 135 minutes.  Our average estimated blood loss for Essure reversal was 87 milliliters (6 tablespoons).  The least amount of blood lost during an Essure reversal surgery was 5 milliliters (1 teaspoon) and the most amount of blood lost during an Essure reversal surgery was 325 milliliters (1.5 cups).

Essure reversal
Time to first pregnancy

The average time after surgery to a positive pregnancy test was 118 days (4 months).  The earliest time to a positive pregnancy test was 65 days (2 months) and the latest time to a positive pregnancy was 614 days (20 months).

Risks of Essure reversal
Complications of surgery

Outpatient Essure reversal at our center is safe. Five patients experienced complications within 30 days of surgery.

One patient developed an abnormal heart rhythm during Essure reversal surgery and was in the hospital for three nights of observation.

A second patient had unexplained abdominal pain 72 hours after Essure reversal and underwent a laparoscopic evaluation by her local doctor. No additional interventions were required.

A third patient developed an infection in the surgical incision and this was treated with oral antibiotics.

A fourth patient experienced a heavy first menstrual cycle after Essure reversal and went to her local emergency room for evaluation.

A fifth patient experienced pelvic pain and was diagnosed with an ovarian cyst due to normal ovulation and was unrelated to surgery.

Essure reversal
Chances of pregnancy

A total of 27 separate women became pregnant after Essure reversal. These women had a total of 33 pregnancies; 21 births, 8 miscarriages, and 1 ectopic pregnancy. Four (4) pregnancies were ongoing at the time this was written.

During the study period no patient an ectopic pregnancy and no patient reported a uterine rupture. We did not record the mode of delivery in all Essure patients. We are aware of one patient having a vaginal birth and the remainder indicated planned Cesarean delivery as per our recommendations.

The chance of pregnancy after Essure reversal at our center was 28% but this number included patients who had recently had surgery and did not have enough time to become pregnant.

When we calculated the chance of pregnancy among women who had 12 months or more to become pregnant then the chance of pregnancy was 40%. We feel this number is the most accurate chance of pregnancy after Essure reversal.

Essure reversal risks: Ectopic Pregnancy and Uterine Rupture

Ectopic pregnancy. After our initial study cohort was submitted for publication one patient reported a confirmed ectopic (tubal) pregnancy.

Ectopic pregnancy is always a risk after any tubal or ovarian surgery. The chance of ectopic pregnancy after reversal of tubal clips, rings, coagulation, or ligation and resection type tubal ligations is 10% to 15%. We are uncertain of what the exact chance of ectopic pregnancy is after Essure reversal. The risk of ectopic pregnancy after Essure reversal seems lower than the risk of ectopic pregnancy after tubal ligation reversal.

Uterine rupture. No patient in the published study reported a uterine rupture; however, one patient reported uterine rupture 9 months after the observational study was completed. This occurred at 36 weeks gestation. Both mom and baby are healthy and did not suffer any complications because of excellent and attentive care by the primary obstetrician.

Some surgeons are advocating surgical techniques for Essure reversal, which provide a similar chance of pregnancy with lower or no risk of uterine rupture. It is important to be aware these assertions are speculative at best and have not been demonstrated or supported within published, peer reviewed medical literature.

 

Medical Literature

1. Normal pregnancy after outpatient tubouterine implantation in patient with Adiana sterilization
Monteith, Charles W. MD; Berger, Gary S. MD, MPH, Fertil Steril: July 2011 – Volume 98 – Issue Part 1 – pages e45-e46

2. Successful Pregnancies After Removal of Intratubal Microinserts
Monteith, Charles W. MD; Berger, Gary S. MD, MPH, Obstetrics & Gynecology: February 2012 – Volume 119 – Issue Part 2 – p 470–472

3. Pregnancy Success After Hysteroscopic Sterilization Reversal
Monteith, Charles W. MD; Berger, Gary S. MD; Zerden, Matthew L. MD, MPH, Obstetrics & Gynecology: December 2014 – Volume 124 – Issue 6 – p 1183–1189

22 thoughts on “Essure Reversal Pregnancy Statistics”

  1. Debra says:

    I am 43 and have 2 children. I had the essure procedure done about 8 or 9 years ago. I had some fertility issues with my first child but conceived my second child with no fertile specialist intervention. When I did the essure procedure, I also had ablation done to stop my periods, which it did for a couple years. Now I have irregular periods. I’m wondering what my chances are of becoming pregnant if I do the reversal surgery considering these issues. Also, would insurance cover any of the costs involved.

    1. Dr. Monteith says:

      In general it is recommended that you not become pregnant after having an ablation procedure.

      Tubal reversal and pregnancy are possible if you are having regular periods of at least 3 days duration after your ablation. All pregnancies after ablation are considered high risk. Most IVF doctors will recommend using a gestational surrogate. IVF costs average $14,000 and you will have to pay the surrogate even more.

      If you are not having periods then we would not consider you a candidate for reversal. There is no medical treatment to make your periods return.

      Ablation will decrease the chance of pregnancy because it permanently damages the lining and muscle of the uterus.

      If your periods are light then you do have some functioning endometriumm but we are not always certain if it is enough to allow for pregnancy. There is no accurate way to be certain.

      We cannot provide an accurate percentage about the success of women getting pregnant after reversal with a prior ablation because there are no large scale studies looking at this. We have had women become pregnant naturally after tubal reversal with a prior ablation but don’t have a large enough group of these patients to provide meaningful statistics.

      Studies looking at women who have become pregnant after ablation show that about 50% will miscarry and about 50% will have live born babies.

      You should read these six articles I wrote about ablation, reversal, and the risks of pregnancy: Tubal Reversal and Ablation

      The ablation will decrease the chances of pregnancy but if you are having regular monthly periods of at least three days duration then pregnancy is certainly possible. If you are not having regular periods then I would advise against a reversal because pregnancy is not likely.

      In general pregnancy is not recommended after ablation because each pregnancy is at higher risk; miscarriage, growth restriction, early delivery, c-section and adherent placenta. The literature suggests pregnancies are at higher risk but many will do well.

      It is possible to become pregnant after having an endometrial ablation and then a tubal reversal and have a healthy pregnancy if you are having regular periods of at least three days duration every month. Please call us at (919)977-5050 if you have any additional questions about tubal reversal.

      To be considered a candidate by our office you need to be having regular periods (every month) and these periods need to last for at least three days.

      All patients with ablations need a consult with me (Dr Monteith) either by phone or in person before they can schedule reversal surgery.

  2. Anonymous says:

    Hello Dr.,
    I am 36 years old and I’ve had Essure since 2009, I’d like to have it removed so I can have another child (I regret ever getting it done). My doctor says that even if it’s removed the scar tissue that is left behind will prevent me from having any more children. My questions are: Is there anyway you can help? What are the costs and is there a payment arrangement allowed? How soon would I be able to speak with someone about the procedure?

    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%.

      More information: Essure reversal testimonials

      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.

      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 surgery at our center.

  3. Michele says:

    I’m 43 and would like one more child but have easier is there any way it can happen

    1. Dr. Monteith says:

      Michele
      It is harder to become pregnant with increasing age but not impossible if you are having regular periods. I would advise you not delay your decision for too long.

      The chance of pregnancy after age 40 and tubal reversal is about 35% to 40%. We do have many patients who become pregnant with tubal reversal after age 40. Most of the women who become pregnant after reversal are between the age of 40 and 43.

      For more information: Tubal reversal and age

      The surgery at our center should be safe. Pregnancy should be safe as long as you dont have any severe medical conditions. It is harder to become pregnant with increasing age so I would not delay your decision for too long.

      To see more the success stories of older moms visit: Successful tubal reversal after age 40

      Here is a testimonial you may be interested in: “We Had Given Up” Tubal Reversal Mom Age 47

      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 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

  4. Diana says:

    Hi I’m 33 almost 34 with 3 kids. Had essure done in 2009 and my new husband and I would like to add to our family. Is it to late to get the essure reversed and if not could we have more information please and thanks…

    1. Dr. Monteith says:

      Diana
      It is not too late to get Essure out and reversed. We specialize in Essure reversal and Essure removal. We can reverse Essure and give you the chance of pregnancy….or we can remove Essure and leave your tubes closed. The cost is the same $7,500. We are located in Raleigh, North Carolina.

      You should send us your records so we can understand more about the extra clip on each side. We have had situations like this and can often reverse them.

      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.

      Here is more information on the Tubal Reversal Prepayment Account: Tubal Reversal Prepayment Account

      Here is more information on tubal reversal financing: Tubal Reversal Financing

      Call us at (919) 968-4656 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

  5. Anonymous says:

    Hi! i had the Essure procedure completed in December, 2008. i am currently 38 years old and have 2 children, ages 17 and 10. i would love to be able to add to our family at this point. when making the decision in 2008, i had a toddler and felt i may never have “baby fever” again. haha. At my age, do you thing an essure reversal would be effective?

    1. Dr. Monteith says:

      Your best chances for pregnancy are before the age of 42. Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

      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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