The adventures of Mommy woman
Non surgical tubal
Published on January 29, 2008 By JillUser In Health & Medicine

For those of you out there who don't want to be parents ever/ever again, there is a non surgical female option.  I recently talked to my doctor about tubal ligation (getting ones tubes tied) and he told me about Essure.  It is a procedure where tiny coils are placed into the falopian tubes through the vagina and then the tubes scar around them preventing pregnancy.

I checked out the website and even though it is a very new procedure, the results sound really great.  A lot of the stories involved women who ended up pregnant after their husband had a vasectomy.  The men didn't go to their follow up exams to make sure the procedure was successful.  A lot of people don't realize that men have to follow up and there is something like a three month period after the surgery that you have to use other forms of birth control.

Similarly, you have to use alternate birth control for a couple of months after this procedure to ensure that the scarring successfully blocks off the tubes before having unprotected sex.  I know a lot of men get pressured to have a vasectomy because it is easier than tubal ligation.  Now there is a procedure that's easier than both.


Comments
on Jan 29, 2008
I don't know about this one. My wife had two surgeries for endometriosis. The first was done by a hack surgeon who caused a lot of scar tissue. The second was done by one of the best in the country. Unfortunately, the first doctor did so much damage that her tubes were left blocked and the second couldn't do anything to repair them.

We had very little chance of getting pregnant naturally due to the blockage. We started talking to a fertility specialist. He noted the issue being the blocked tubes. A couple of months later those same blocked tubes became a life threatening issue. My wife got a serious infection in her tubes and they had to be removed that day. She spent several days in the hospital on IV antibiotics. I have no doubt that the scar tissue played some part in the infection.

It's not an issue anymore since she had the emergency tubal ligation but essure just sounds scary to me.
on Jan 29, 2008
Just John, sounds more likely that the infection was a result of surgery.  You can't get an infection from your own scar tissue and the coils are sterile metal so it's bloody unlikely you'd get an infection from them.  You guys were coming from the opposite problem though.
on Jan 29, 2008

A tubal ligation causes scar tissue, too.  So, I don't think that scar tissue itself would be an issue.  It is always possible that you could have an allergy to the metal (I'm allergic to surgical steel....but you would have the same issues with a tubal since they typically crimp the cut ends with metal.

 

on Jan 29, 2008
Interesting. I wasn't aware of the new procedure! I had tubal ligation immediately after having my 3rd child. It was painless, and quick and I've not had a problem and it will be seven years this year. Thank heavens on the no problem scale! The description of the Essure sterilization sounds barbaric - not a good visual! But it's good that women have other options!
on Jan 29, 2008
The description of the Essure sterilization sounds barbaric - not a good visual! But it's good that women have other options!
How is it more barbaric than cutting you, sticking instruments in and cutting you some more?
on Jan 30, 2008

even though it is a very new procedure

I would be leery for now.  After all, the Dalkon shield looked good at first too.

on Feb 01, 2008
I would be leery for now. After all, the Dalkon shield looked good at first too.


No comparison Dr. Guy. There was only 1 clinical test done on the Dalkon and that was pregnancy rate only. The Essure has ongoing 5yr observations for all concerns. Unlike Dalkon also, Essure has no part that can foster infection apart from improper procedure. If you have an excellent doctor, there should be no concern there. So far, the risks are far less than the pill. People don't seem to be "leery" of the pill.
on Feb 12, 2008
I had the Essure procedure done in November, along with an endometrial ablation. My periods were getting heavier, and I had no interest (at ALL) in having any more kids. With the 2 combined procedures: no more periods, no more kids. Yay!

I was put under general for them, (my doctor recommended it - said it's so
much easier on everyone), so the hardest part was the anesthesia fog that
lasted for several days. Otherwise, almost no cramping or pain. Similar to
medium-bad period cramps at worst.

Today I had a follow-up procedure done. An HSG, which is a dye/x-ray done
to confirm the tubes are blocked. HSG's are typically done for women who
are having trouble getting pregnant to determine IF their tubes are blocked.
This was the part that was the biggest surprise. It was a bit painful
(not horribly, but I have a high pain threshold.) I didn't know anything about
it, and was told I'd have to have this done at my "post-op" after the Essure
procedure. There is a small chance of infection, as with pretty much anything
done in a medical setting anymore!
The radiologist said it was perfect, my tubes are totally blocked.

Overall, I'd do it again in a minute. I had significantly less recovery time
than the men I know who have had a vasectomy, and there are no incisions as
with ligation.

I'd highly recommend the procedure.
laura


on Feb 19, 2008

Thanks for your story largemarge!

on May 07, 2008
There is nothing to be scared or worried about essure. The only thing is that Essure procedure requires a gynecologist experienced with the product and the procedure to place a soft, flexible micro-insert into each fallopian tube through your body's natural pathways. The entire procedure takes approximately 35 minutes, with only 15 minutes required to place the micro-inserts into the fallopian tubes.

The method is 99.8 percent effective in preventing pregnancy. Unlike tubal ligation or vasectomy, the Essure procedure does not require incisions or punctures to the body and there is no cutting, clipping, suturing or burning of tubes. The micro-inserts do not contain or release hormones and are constructed with medically safe materials.
For more details on essure visit the following website...
http://www.drherzogwomensspecialist.com/