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Essure Sterilization: Explained in Detail


Essure is the newest form of tubal sterilization. The purpose of Essure is the same as tubal ligation: providing permanent birth control by causing blockage of the fallopian tube. Essure sterilization is technically not a tubal ligation, but, more appropriately, an internal tubal occlusive technique.

Essure-is-a-new-type-of-tubal-ligationThe more correct name for the type of tubal blockage caused by Essure is transcervical hyteroscopic tubal occlusion. This term translates into a sterilization procedure performed through the cervix (transcervical), using a camera (hysteroscopic), and causing permanent tubal blockage (tubal occlusion).

Essure is unlike any other type of tubal ligation because it causes the tubes to become blocked from the inside by causing scar tissue on the inside of the tube. This scar tissue results in complete and permanent blockage of the tubes.

How does Essure work?

The Essure procedure is commonly performed in the doctor’s office and with minimal sedation. During the procedure a small camera is placed through the cervix and into the uterus. An Essure micro-insert device is placed inside the opening of each fallopian tube. This device causes the tube to gradually heal closed by causing the formation of scar tissue around the coil and inside the tube. This blockage only occurs in the very beginning of the fallopian tubes.

Once the coils are inserted patients are instructed to use another form of birth control while the scar tissue is forming to cause tubal blockage. Permanent tubal blockage usually occurs by the third month after the Essure device insertion procedure and is confirmed with a hysterosalpingogram x-ray (HSG). This is often referred to as the HSG confirmation test.

Reversing Essure

Is it possible?

Essure is intended to be permanent but we have proved otherwise. We can remove the Essure coils and the permanent scar tissue can be bypassed by re-introducing the tubes into the uterine cavity. This procedure to reverse Essure is called tubouterine implantation.

Tubouterine implantation can provide women with the chance to become naturally pregnant again after Essure sterilization.

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?

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



I am 27 years old and I got the essure about 5 years ago after my last pregnancy, I was told by my doctor that it was a sterile technique and cannot be removed or reversed. i would love to possibly have another baby in the future what are my chances of getting it reversed and getting pregnant.

    Dr. Monteith Reply

    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