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Essure

What is Essure?

Essure denotes a permanent type of birth control. Miniature flexible coils made of fiber and metal are placed in the fallopian tubes, which join the ovaries to the womb. These coils lead to the development of scar tissue within the fallopian tubes, which creates a barrier that inhibits sperm from reaching an egg. This is an outpatient procedure.

When is Essure utilized?

Essure is utilized for women who do not want to have any more children. It is a non-reversible form of birth control that does not have few of the side effects that hormonal contraceptives (birth control) do. It also does not impact the menstrual cycle.

Advantages of Essure:

Minimally Invasive Procedure: Essure placement needs no cutting, leaves no evident scars, and can be done in a healthcare professional’s office.

No General Anesthesia Needed: Women can remain completely conscious during the procedure. Healthcare professionals may advise medication to lessen anxiety and utilize a local (numbing) anesthetic to lessen potential discomfort.

Non-Hormonal: For women who prefer or need non-hormonal birth control, Essure inserts do not consist of or release hormones.

Return to Regular Activity within 1 to 2 days: The majority of women (60%) return to regular activity within 1 day or less, and more than 75% return to regular activities within 2 days.

Short Placement Time: Total procedure takes 36 minutes on an average. In the most recent clinical study, over 96% of women were able to have both inserts placed at the first placement attempt.

Benefit of Confirmation: An Essure Confirmation Test will validate if both inserts are placed correctly and whether women can rely on Essure for birth control. In the most recent clinical study, 92% of women who had placement attempts were told to rely on Essure for birth control.

Highly Effective: The Essure procedure is 99.3% effective at preventing pregnancy in women who were asked to use Essure for birth control (based on first-year reliance in the most recent clinical study)

What happens during the procedure?

Healthcare professionals will utilize a speculum, which is a similar instrument utilized during a Pap smear, to glance at the cervix, the opening to a woman’s uterus. Healthcare professionals will utilize a cervical dilator to aid widen women’s cervix. A hysteroscope, which refers to a thin tube with a camera, will be placed into the uterus through the cervix. Women’s uterus will then be filled with saline (salt water) to make it easier for healthcare professionals to observe fallopian tubes. Another small tube known as a catheter will then be inserted into the woman’s uterus, comprising a flexible coil. The healthcare professional will place the catheter in one of fallopian tubes and the coil will be kept in the tube as the catheter is taken out. He/she will repeat the same procedure for the other fallopian tube.

Preparation of the procedure:

Healthcare professionals may ask women to take a hormonal contraceptive for a few weeks prior to the procedure.

This thins the lining of the woman’s womb, which is known as the endometrium, permitting for better visualization of the openings to fallopian tubes and easier insertion of the Essure coils.

If women do not want to take a hormonal contraceptive the healthcare professional will try to schedule the procedure right post period when the endometrium is the thinnest.

Women will be under anesthesia for the procedure, so they will require someone to drive her to and from their appointments.

Risks of Essure:

Mild to moderate cramping

There is a small likelihood of:

  • Infection.
  • Pain felt in the lower portion of the tummy.
  • Damage to womb or fallopian tubes.
  • Blocking only one fallopian tube.
  • Pregnancy (This is more likely to occur during the first 3 months post the procedure while the scar tissue is forming)

Symptoms:

Few Essure symptoms are mild and may be experienced for a few days, with others being more persistent and females experiencing chronic manifestations. Symptoms may be exacerbated due to the duration females are exposed to the Essure device.

Symptoms may comprise:

  • Pain in the abdomen/Pelvis
  • Abnormal menses
  • Allergic manifestations like itching, swelling, rash or hives.

Other symptoms that have been reported:

  • Severe bloating
  • Tiredness
  • Migraines.
  • Weight gain.
  • Altered toilet habits.
  • Twinges in the implant site and aching joints.
  • Pain during intercourse, that had never existed before.
  • Depression.
  • Autoimmune disease.
  • Loss of hair.
  • Reduced libido.
  • Memory lapses, dizziness, and fainting.

Treatment options:

The Essure device is identified as a permanent contraceptive device, it was not tailored for removal. If the device needs to be taken out, surgery will be required. The type of surgery required will depend on the positioning of the Essure device, the medical history of the female, and symptoms.

Surgery can range from excision of the fallopian tubes to a hysterectomy, based on the site of the Essure device and the amount of inflammation in the site. Hysterectomy is the preferred and safe surgical choice; the Essure device requires it to remain as it is so that fragmentation of the device does not happen. Women who desire to have the Essure device removed may have restricted surgical choices. Sometimes, women may require more than one surgery. It is recommended that the options be discussed with a Gynecologist.

Although females who have fewer manifestations do not necessarily require surgical management, it is recommended that a Gynecologist's opinion be considered to ascertain if surgery is required.

In a nutshell, the Essure implant refers to a medical device that offers permanent contraception for women. The device is a type of soft, flexible metal coil insert that does not comprise or secrete any hormones. Over the 90 days following its insertion, a barrier forms around the inserts, which is meant to inhibit pregnancy. The Essure device has been known to corrode as well as migrate inside a few women, exposing them to nickel hypersensitivity and inflammation and causing issues with their wombs and other organs.

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