Transcervical Sterilization – Essure

Transcervical Sterilization – Essure

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Sterilization offers a more secure method of birth control for women and is often performed after a woman has her last child – which really depends from one woman to the next. While some women would like to undergo such a procedure after giving birth to her first child, another woman may rather want to wait for a second or third child. One study explains that about 10% of sterilization procedures are performed on women shortly after they have given birth.

In recent times, many new minimally invasive procedures have been introduced. When looking at the options currently available, transcervical sterilization is currently considered to be the least invasive and can now even be done through a visit to a trained clinician’s office. This greatly minimizes the cost but also means a woman will have to deal with permanent sterilization. Essure, previously called STOP, is a popular option on the market for women interested in transcervical sterilization.

What Is Essure Transcervical Sterilization?

Essure is a type of transcervical sterilization procedure that can be conducted in women who have decided that they would like to opt for a permanent sterilization option. The product includes the use of a specially designed coil that is placed in both of the fallopian tubes within the female patient’s reproductive system. These coils will cause scarring in the fallopian tubes, leading to scar tissue developing around the coils. The end result would be a complete blockage of the fallopian tubes, preventing sperm from entering the pathway and meet an egg for fertilization.

Risks Associated With Essure Transcervical Sterilization

Even though the use of the Essure transcervical sterilization procedure has yielded positive results in the majority of cases, it should be noted that there have been reports of adverse events occurring in some patients who have opted for the procedure. Some women have experienced an allergic reaction to the materials used in the manufacturing of the microcoils used during the procedure. There have also been reports of heavy bleeding, as well as significant pelvic pain in some women.

Can Essure Transcervical Sterilization Be Reversed?

Due to the various adverse events reported by women who have received an Essure transcervical sterilization procedure in the past, a lot of those with an existing product in their fallopian tubes are seeking a method to reverse the procedure. Unfortunately, due to the significant scarring that occurs in the fallopian tubes with the use of Essure, reversal is not truly possible, but the micro-coils can be removed. In such a case, however, many women will find that becoming pregnant after the removal of these coils can hold risks for both her and her unborn child. This is why IVF is often advised as an alternative option for pregnancy among women who opted for this permanent sterilization procedure.


Transcervical sterilization procedures have become a popular alternative to more traditional options, allowing for a much less invasive procedure that does not require general anesthesia. The procedure is often done in a clinician’s office, but the clinician needs to be appropriately trained to avoid complications. Patients should understand the risks and the fact that reversal may not yield successful results in terms of pregnancy.