How you prepare
Your health care provider will ask you why you are choosing sterilization and explain that the Essure system can't be reversed. You'll talk about the things that might cause you to later regret your decision, such as young age or an unstable relationship. Together, you'll review the risks and benefits of reversible versus permanent contraception.
Before your Essure system procedure, your health care provider will explain the following things:
- Details of the procedure, including the best time to do it
- Side effects and risks
- Reasons why the procedure may fail
- The need to use backup contraception for three months after the procedure, or until tubal blockage is confirmed
- The risk of sexually transmitted infections (STIs) and why and when your partner should use a condom
Your health care provider needs a clear view of your fallopian tube openings to insert the Essure system. For this reason, it's often best to do the procedure shortly after your period, when the lining of the uterus is thin. If you have irregular periods, your health care provider may recommend medication to thin this lining. Options include birth control pills, rings or patches that contain progestin (alone or with estrogen) or an injection of medroxyprogesterone acetate (Depo-Provera).