Permanent birth control is for women whose families are complete and who desire a simple and convenient method of avoiding an unwanted pregnancy. Because permanent forms of birth control cannot be reversed, you should be certain that you are finished having children.

Our office provides two methods of female sterilization methods: laparoscopic tubal ligation and the Essure procedure.


The Essure procedure is the first and only FDA-approved female sterilization procedure to have zero pregnancies in the clinical trials. The Essure procedure is permanent and is not reversible.

What is Essure?

Essure 205x300Essure birth control is different than the traditional method of a surgical tubal ligation. With Essure, there is no cutting into the body. Instead, your doctor will insert spring-like coils, called micro-inserts, through your body’s natural pathways (vagina, cervix, and uterus) and into your fallopian tubes.

The Essure procedure can be performed in our office using I.V. sedation and there is no post-op recovery period. Most women return to their normal activities in less than a day.

During the first three months following the Essure procedure, your body and the micro-inserts will work together to form a tissue barrier that prevent sperm from reaching the egg. During this period, you will need to use another method of birth control.

After three months, your doctor will perform an Essure Confirmation Test, a special type of x-ray to confirm that your tubes are completely blocked and you can rely on the Essure micro-inserts for birth control.

Unlike birth control pills, patches, rings, and some types of IUDs, Essure does not contain hormones that interfere with your natural menstrual cycle. Your periods should more or less continue in their natural state.

Essure side effects

Side effects during or immediately after the Essure procedure may include cramping, nausea or vomiting, dizziness, and bleeding or spotting. Not all women will achieve successful placement of both Essure inserts.

Essure reversal

The Essure procedure is permanent and cannot be reversed. If removal of the Essure device is required for any reason, it will likely require surgery and possibly a hysterectomy.  There is no data on the safety or effectiveness of reversal.

Laparoscopic tubal ligation

Laparoscopy uses an incision in the umbilicus and a tiny incision in the lower abdomen.  This procedure is performed under general anesthesia and there is a 2-4 day recovery period.

In tubal sterilization, both fallopian tubes are blocked by tying, sealing, or attaching a ring or clip to them. The eggs are then unable to move down the tube to the uterus.

Tubal ligation reversal

In some cases, women who have undergone a sterilization procedure have later regretted their decision. Women who undergo sterilization at a relatively young age are more likely to regret having the procedure.

Reversing tubal ligation requires major surgery and is rarely covered by insurance. The success of tubal ligation reversal depends upon several factors, including the type of procedure performed, the length of the remaining tube, and your age.