Tests and Procedures


What you can expect

The procedure to insert the Essure system coils can be done in your health care provider's office. It typically takes 30 minutes or less. You may be given medication before the procedure to prevent pain and reduce spasm of your fallopian tubes, which can make insertion difficult.

During the procedure

Your health care provider places the Essure system inside your fallopian tubes using a hysteroscope, a thin tube with a camera lens attached, as a guide. The scope passes through your vagina and cervix into your uterus, where it provides a view of the opening of each fallopian tube. If the opening to the tubes can be seen, the health care provider inserts the tiny Essure coils through a catheter attached to the scope and up inside each tube.

After the procedure

You may go home immediately after the procedure and return to your normal activities the same day. The most common side effects after the procedure are:

  • Cramping
  • Abdominal pain
  • Nausea or vomiting

Contact your health care provider immediately if you have severe or persistent pelvic pain or a coil falls out.

You must use another form of contraception for three months after the procedure. Around this time, your health care provider will order X-rays or other imaging tests to confirm the coils are in the right position and the fallopian tubes are blocked. If the procedure is successful, you can stop using other forms of birth control at this point.

You should still have a period each month. The Essure system doesn't affect your monthly cycle. If you stop having periods or think you're pregnant at any time after the procedure, contact your health care provider immediately.

The Essure system cannot be reversed.