Essure and Tubal Ligation: Choices

If you are a woman who has completed your family, two choices for permanent birth control are available: Essure and tubal ligation. Both methods are highly effective. Each option of birth control has its benefits and its risks. Read on to learn more about Essure, tubal ligation, or other lmethods of birth control that might be best for you.

Essure Micro Insert


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Considerations Before Essure and Tubal Ligation


Essure, tubal ligation, and vasectomy for men are meant to be permanent, non-reversible procedures. Because of this, it is essential to be sure that you have completed your family and do not want to have any more children before undergoing one of these procedures. If you are not sure, other methods including medications, injections, rings and IUDs are recommended instead.

Tubal Ligation Procedure

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Essure vs. Tubal Ligation

Essure and tubal ligation work by blocking fertilization at the fallopian tubes. The methods for blocking the fallopian tubes are where the procedures differ. Unlike Essure, tubal ligation is normally performed under a general anesthesia because it is an invasive procedure that involves incisions. Tubal ligation requires a surgery in a hospital or outpatient surgery center and may require a hospital stay, whereas the Essure procedure can be performed in the comfort of our office during an appointment lasting anywhere from 45 minutes to an hour.

With a tubal ligation procedure, the fallopian tubes are usually blocked by severing and suturing, though sometimes clips, rings, cauterization or electrocoagulation is used. These all involve surgical incisions necessary to gain access to the fallopian tubes. With procedure Essure, a special scope is used to go through the vagina and cervix and place a micro-insert into the fallopian tube. This insert, instead of closing up the tube itself, works with the body to create scar tissue that naturally surrounds the insert and closes the tube, preventing sperm from fertilizing the egg.


Essure is far less invasive and has a far shorter recovery time than a tubal ligation or "getting tubes tied." Once the Essure procedure is complete, the patient can leave Dr. Ghodsian's office and resume normal activity.

The drawback to the Essure procedure is that it takes a three-month period to take effect. Tubal ligation is immediate, while Essure requires the use of another birth control method in the three months needed to build up the tissue to block the fallopian tubes. After that three month period, you will visit Dr. Ghodsian again for a special x-ray using a special contrast dye, which will determine if the Essure procedure was a success.

If you are debating the merits of Essure, tubal ligation, or other permanent or temporary birth control methods, schedule an appointment with Dr. Ghodsian today.

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