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Essure Reversal Risks


Essure reversal risks are low when performed by Dr. Monteith of A Personal Choice.

Surgical terms for removing Essure can be confusing and it is important to understand the difference between the Essure reversal and Essure removal.

  • Essure reversal: Procedure to remove Essure devices and allow future pregnancy
  • Essure removal: Procedure to remove Essure devices and prevent future pregnancy

Essure reversal surgery can provide an affordable alternative to the more expensive treatment of in-vitro fertilization (IVF).

More info: Chances of pregnancy after Essure reversal with Dr Monteith

The chances of pregnancy after Essure reversal with Dr. Monteith can be comparable to the average success of a single cycle of IVF.

Essure removal surgery is safer and less risky than hysterectomy and should provide similar results in reducing Essure symptoms when compared to procedures to remove the tubes.

More info: Chances of symptom improvement after removing Essure with Dr Monteith

Most patients will report improvement in symptoms after Essure removal with Dr. Monteith.

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?

Skilled And Dedicated Reversal Team: Important For Safe Surgery

When having surgery with Dr. Monteith, you can be assured you will be getting the best care possible from a dedicated surgical team. His team is focused on surgical safety and success.

More info: Essure reversal team

More info: A Personal Choice surgical facility

More info: Patient safety during surgery

essure-removal-cures-essure-discomfortThe complication rates below demonstrate surgery to remove Essure devices or reverse Essure sterilization at A Personal Choice is safe with a low risk of complications.

All patients are evaluated during scheduling for health conditions, which could increase the risk of surgery. Experienced anesthesia providers and nurses will care for you during your stay.

All surgeries are performed by Dr. Monteith, who has over 15 years of surgical experience in a variety of health care settings.

To simplify the following discussion about risks of Essure reversal and removal, all Essure surgeries (removals and reversals) will be referred to as Essure removal.

For a more detailed discussion of each of these risks of Essure removal surgery click on the links underneath each risk section below.

JANUARY 2009 to JANUARY 2018 = 469

Essure Removal Risks With Dr. Monteith: 9 Year Analysis

In January of 2018, Dr. Monteith performed an analysis on the risks of Essure removal.

From January of 2009 to January of 2018, Dr. Monteith reviewed the outcome of 469 of his patients who underwent Essure removal surgery at his specialty center.

Essure removal risks can be divided into three (3) separate categories:

  1. Intra-operative risks (risks during surgery)
  2. Post-operative risks (risks after surgery)
  3. Pregnancy risks (risks of pregnancy after having Essure reversal)

The following complications were observed in the group of 469 patients who had Essure Removal with Dr. Monteith over a 9 year period.

Essure Removal Risks: Intra-Operative Risks

  • Failure to complete planned procedure
    • Failure to remove one or both Essure devices  <1%
    • Failure to perform tubouterine implantation  <1%
  • Fracture of Essure devices
    • Prior to 2014 chance of Essure device fracture estimated to be approximately 10%
    • After 2014 chance of Essure device fracture estimated to be  <1%
  • Bleeding requiring hospitalization or blood transfusion  0%
  • Anesthesia complications  0%
  • Transfer to hospital  <1%
  • Referral to ER or hospital with 24 hours of surgery  <1%
  • Death  0%

More information: Intra-operative Essure removal risks

Essure removal risks: Postoperative complications

  • Major surgical site infections  0%
  • Minor surgical site infections  <1%
  • Need for a second operation/procedure within 30 days <1%
  • Persistent symptoms requiring additional surgery <10%

More information: Postoperative risks of removing Essure devices

Essure reversal risks: Risks related to pregnancy

  • Closure of the tubes after reversal  <60%
  • Ectopic (tubal) pregnancy  5%
  • Uterine rupture  4%*

*The risk of uterine rupture was observed to be 4% in patients who become pregnant after Essure reversal.

This 4% chance of rupture was observed in women who planned early cesarean delivery.
If patients planned vaginal delivery the observed chance of uterine rupture after Essure reversal could be higher than 4%.

More information: Essure reversal risks: Risks related to pregnancy

Risks of Essure Removal Surgery: Increase with patient weight, scar tissue, fibroids

Dr. Monteith firmly believes there is no such thing as a ‘minor’ surgical procedure.

Every procedure has risks and no procedure has 0% risk and no surgeon has 0% complications.

All surgical procedures should be considered major; however, outpatient Essure reversal and Essure removal surgery when performed by Dr. Monteith is safe with an acceptable low risk of major complications in carefully selected patients.

Dr. Monteith’s experience has taught him Essure reversal risks; device fracture, inability to remove one or both devices, or failure to complete the planned procedure are increased when the following risk factors are present.

Factors Increasing Risk of Essure Removal

Essure reversal risks are increased when the following factors are present:

  • Patient obesity BMI > 30
  • Presence of uterine fibroids
  • Severe pelvic adhesions (scar tissue)
    • History of multiple cesarean deliveries
    • Prior abdominal surgery to remove uterine fibroids
    • History of abdominoplasty (tummy tuck)
    • Previous intestinal surgery complicated by infection

Dr. Monteith can safely remove most Essure devices with a low risk of device fracture.

In the few cases when Essure device removal is not possible, patients usually have a combination of the above risk factors. Severe pelvic adhesions and large uterine fibroids are uncommon, but the presence of these two conditions are the greatest predictors for a more complicated surgery.

Patient obesity alone is not usually a problem but obesity combined with scar tissue and/or uterine fibroids increases the difficulty of Essure removal surgery.

Get Your Free Consultation Today

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Essure Reversal Risks: Are You A Safe Candidate?

Patients considering Essure reversal or Essure removal surgery with Dr. Monteith should call and speak with a nurse.

It is extremely helpful to send all pertinent records for Dr. Monteith to evaluate to determine if you are a candidate. The most helpful records are:

  1. Essure insertion operative/procedure note
  2. Results of 3 month Essure confirmation test (HSG x-ray test done 3 months after devices are inserted)
  3. Results of any pelvic imaging if performed after Essure inserted
  4. Operative notes regarding any prior uterine, ovarian, or intestinal surgery

Potential patients are encourage to send records using the Fax Cover sheet:
Tubal Reversal Forms

A simple x-ray can determine the number and approximate location of Essure devices.

If you are unable to obtain your Essure operative note or the results of the 3 month Essure confirmation test, Dr. Monteith may have you to obtain a simple abdominal x-ray, sometimes referred to as a KUB (kidney, ureter, bladder) or pelvic x-ray, to confirm the number of Essure devices and approximate locations of Essure devices.

A simple x-ray can be very helpful in determining if multiple devices were placed, if Essure devices have migrated out of the pelvis, or if Essure devices were unexpectedly expelled from the patient’s body after the devices were inserted.

Essure removal/reversal patients with a history of previous cesarean delivery or uterine surgery should consider an optional screening laparoscopy.

More information: Screening laparoscopy before Essure removal/reversal surgery

A screening laparoscopy helps Dr. Monteith determine if severe scar tissue is present and allows him to plan a more precise abdominal incision to increase the chance of successful Essure device removal.

Essure Reversal Risks: Dr. Monteith’s Approach To Minimizing Risks

Dr. Monteith’s approach to minimizing risks of surgery begins with careful patient selection during surgery scheduling, is continued with his perfected surgical techniques during surgery, and extends after surgery with careful patient and physician communication.

  • Patients are screened for high risk conditions during scheduling
  • Surgery occurs in a center with skilled staff dedicated to reversal surgery
  • Dr. Monteith is an experienced fertility surgeon
  • Patients have a consultation with Dr. Monteith before surgery
  • Patients have a post-operative consultation the day after surgery with Dr. Monteith
  • Patients will be provided a copy of their records and these records will be faxed to the patient’s local physician
  • Patients receive Dr. Monteith’s personal cell phone number to call should they feel they are having a complication
  • Nurses contact patients by phone or email after surgery to check on their progress
  • Nurses are readily available by phone and email during Eastern Standard business hours

Minimizing Essure Removal Risks: Follow-up with your local doctor

Michigan-Essure-reversal-surgery-wiith-dr-monteithDr. Monteith strongly encourages patients to schedule a follow-up visit with their local doctor within the first four (4) weeks of having surgery at A Personal Choice.

The purpose of a follow-up visit with your local doctor is not for a post-operative evaluation or post-operative exam/check up.

The primary purpose of a follow-up visit is to discuss your Essure removal surgery and what the results may mean for you going forward (either in regards to symptoms or possible pregnancy).

  1. We advise patients to have close follow-up with their local physicians after reversal surgery and before pregnancy occurs.
  2. We help facilitate communication between the patient and  their local physician by sending a letter with Dr. Monteith’s recommendations and a copy of the operative report soon after surgery. We will also provide patients with the same information.
  3. We will provide patients with a copy of Dr. Monteith’s landmark research paper on Essure reversal and encourage them to share this research with their local physician. This information will help educate patient’s local physician about the success of Essure reversal and help these doctors be more engaged in your personal care.

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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Have a Question? Drop Us A Line!

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.

Please view our most frequently asked questions before sending your questions.

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