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Essure

in-office, non-surgical permanent birth control that is safe, easy, and effective



All of us reach a point when we know our families are complete.  That's the time to consider permanent birth control and many women are turning to Essure. Contact our office to schedule an Essure consultation. 1-866-942-7762  Our staff will talk with you to see if Essure is right for you.   

What is Essure?
 
Essure is a permanent, non-surgical transcervical sterilization procedure for women.
 
How does Essure work?
 
A doctor places soft, flexible inserts into each of your fallopian tubes by a catheter through the natural pathways of your vagina and cervix, with no incision. The insert contains inner polyethylene terephthalate fibers to induce benign fibrotic reaction and is held in place by flexible stainless steel inner coil and a dynamic outer nickel titanium alloy coil. Over the next three months, your body works with the Essure inserts to elicit tissue growth in and around the insert to form a natural barrier within your fallopian tubes that prevents sperm from reaching your eggs. Your ovaries will continue to release eggs, but they will be absorbed naturally into your body. After three months you’ll take the Essure Confirmation Test to confirm you can no longer get pregnant. A special dye is introduced into your uterus, then viewed on an x-ray to confirm that the inserts are in place and your fallopian tubes are fully blocked. Once you receive verification from your doctor, you can start relying on Essure for permanent birth control.
 
How effective is Essure?
 
Following successful insertion and occlusional response, the Essure procedure is 99.74% effective based on 5 years of follow-up, with zero pregnancies reported in clinical trials. This is a higher efficacy rate than any other form of permanent birth control.
 
What are the benefits of Essure?
 
Essure is a permanent, surgery-free, hormone-free procedure that has a very rapid recovery time.
It is a one-time procedure that prevents pregnancy permanently, so you never have to think about it again. Essure is a simple procedure that can be performed in your doctor’s office in less than 10 minutes, without the risks associated with general anesthesia that come with surgical procedures.
Essure contains no hormones to interfere with your body’s natural processes, and therefore does not come with the potential risks and side effects associated with hormones. Lastly, most women are back to their normal routine in less than a day after the procedure with little to no discomfort or pain.
 
Who should not use Essure:
 
Anyone who:
·          Is uncertain about her desire to end fertility;
·       For whom only one micro-insert can be placed (including patients with apparent
       contralateral proximal tubal occlusion and patients with a suspected unicornuate
        uterus);
·          Has previously undergone a tubal ligation
·          Is pregnant or suspects they may be pregnant
·     Delivered or terminated a pregnancy less than 6 weeks before the Essure
       placement;
·     Has an active or recent upper or lower pelvic infection;
·     Has a known allergy to contrast media ; and
·     Has a known hypersensitivity to nickel confirmed by skin test

What should you expect before the procedure?
 
 EVENING PRIOR TO PROCEDURE
 
1.        Ibuprofen 200 mg, 4 tablets (800 mg total)(take with food or just after eating)
Ibuprofen is an “over-the-counter” medication that is also found in the medication Motrin. It will help with any discomfort during and after the procedure. It will also help minimize your uterine muscles from tightening during the procedure and increase the chance of a successful Essure insertion.
 
MORNING OF THE PROCEDURE
A light meal or drink before your procedure is okay.
1.       Ibuprofen 200 mg, 4 tablets (800 mg total)  (take with food or just after eating)
2.       Insert the 2 tablets of misoprostol high into your vagina 3 hours before your procedure. This medication helps your cervix to open more easily and makes the procedure more comfortable. You may experience some cramping or spotting after inserting this medication.
 
DURING THE PROCEDURE
Depending on your preference, you will receive one of the three options for pain medication below:
1.       Lidocaine (numbing medicine) in the cervix.
2.       Oral lorazepam (Ativan)
3.       Moderate IV sedation with fentanyl (similar to morphine) and midazolam (similar to Valium).
 
During the procedure you will experience a sensation of cramping. Pain medication options number 2 and number 3 will lessen the sensation of cramps to a greater degree but, more importantly, help further insure you and your uterine muscle relax and increase the chance of a successful Essure insertion.
 
You must have a driver to bring you to the office for the procedure and to take you home following the procedure if you choose either pain medication option number 2 OR number 3.
 
Reminder: Please arrive 15 minutes before your scheduled procedure time.
 
The entire time needed is approximately 1 hour although the actual procedure is just a few minutes. You will need to remain in the recovery room for 30 minutes if you choose option number one and for 60 minutes if you choose either option number 2 or 3.
 
 
What should you expect after the procedure?
 
DIET - You may resume a normal diet. You may experience mild nausea following the procedure. Drinking clear liquids like ginger ale may alleviate mild nausea. Severe or prolonged vomiting should be reported to the physician.
 
ANTIBIOTIC SIDE EFFECTS - You will have been given a single dose antibiotic, which may cause nausea or abdominal cramping or diarrhea. If this occurs this should resolve within 24 hours.
 
DISCOMFORT - Some discomfort is expected after the Essure procedure. This may be felt as mild to moderate pain or menstrual-like uterine cramping. You may take ibuprofen to alleviate discomfort or pain. Severe pain not controlled with ibuprofen should be reported to the physician or you must seek emergency medical attention. For pain control you can take Ibuprofen 400 mg or 600 mg orally every 8 hours as needed for 24-48 hours following the procedure.
 
BLEEDING - Spotting or light bleeding is normal and should stop within the first few days following the procedure. If bleeding becomes heavy please contact the physician.
 
FEVER - Please contact the office immediately if you have a temperature greater than 100.4 degrees.
 
ESSURE CARD - There is a client ID card supplied with each Essure system. Be sure to carry it with you at all times and show it to other healthcare providers involved in your present or future care.
 
ACTIVITY - There are no restrictions for your activity including bathing. However, please avoid placing anything in the vagina for 48 hours following the procedure.
 
INTERCOURSE - Wait at least 48 hours to have intercourse. You may then have sexual intercourse after any bleeding stops and you feel comfortable. Remember you MUST use alternative contraception until your provider tells you that you can rely on the Essure for contraception.
 
IN 3 MONTHS - You will be given a requisition for the hysterosalpingogram (HSG). The HSG is the X-ray procedure to make sure that both of your Essure micro-inserts are in the correct position and that both of your tubes have been blocked.
 
 
What if I have further questions?
 
Please call the office if you have any questions at (866) 942-7762.  We'll be happy to schedule a consultation with our doctor.

 


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