Essure vs tubal ligation

Gynecology & Obstetrics Physicians & Surgeons

Updated on Aug 27, 2014

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Sterilization:

Sterilization procedures are permanent birth control methods. Through sterilization procedures, the reproductive system of a woman is permanently blocked by affecting or blocking it at one of several levels.

There are several methods of sterilization such as tubual ligation and essure. Both has their own pros and cons. Sterilization is a safe process generally but like every procedure it has several risks associated with the particular method which is being used for sterilization.

Tubal ligation

Tubal ligation is also called tubectomy. Tubal ligation is a sterilization process in which the follapian tubes of a woman are blocked to prevent the eggs from the ovary to reach the uterus. This prevents fertilization and thus results in birth control.

Tubal ligation is effective in 99% of cases for the first year after the procedure is performed. However the fallopian tubes has a tendency to reconnected after being cut and thus the incidence of pregnancy increases in the following years.

Around 15-20% of the pregnancies due to failure of sterilization after tubal ligation are ectopic.

Essure sterilization

Essure is a non surgical sterilization method. It’s a transcervical sterilization method which is permanent.

The essure sterilization method is short (takes almost ten minutes to perform the procedure only) and can be done without anesthesia and without any special arrangement like operation theatre. As there is no surgical procedure performed, there fore there is no incision or post surgical recovery time is required.

Essure vs traditional sterilization methods

Essure is a relatively new and advance form of sterilization. Both essure and other traditional sterilization methods like tubal ligation has their pros and cons. Patient should understand them in detail to chose the one best for them.

Efficacy:

Essure is 99.75% effective for 5 years.
Tubal ligation however, is 99% effective for first 1 year only, and the efficiency reduces significantly in the following years.

Anesthesia

No anesthesia is given which essure sterilization is being performed, preventing any anesthesia related risks and complications to the patient.

Time of procedure

Performing essure sterilization takes around 10 minutes only by a trained and expert doctor. Other sterilization methods however, are proper surgical procedures and take much more time than essure.

Ectopic pregnancy

Risk of ectopic pregnancy persists in both essure and tubal ligation. However essure has less risk of ectopic pregnancy if performed properly than other traditional sterilization methods.

Time to get effective

After essure, the implant takes 3 to 6 months to create the barrier for sterilization to complete. In other methods like tubal ligation however, the sterilization ensures right after the surgery is performed.

Reversibility:

Essure is said to be irreversible by the manufacturing company, however some of the cases has been reported to be reversed through doctors.

Traditional sterilization methods like tubal ligation are reversible, depending upon the procedure performed for sterilization.

Expulsion of the implant

Implant may be expelled by the uterus in case of essure sterilization method, resulting in failure of the sterilization. In tubal ligation however, as the procedure is surgically blocking the fallopian tube, there is no risk of any such thing.

Cost effective

Essure is much more cost effective than tubal ligation as it involved full fledge surgery cost too.

The methos of sterilization depends mainly on the requirements and reasons for sterilization by the woman. Essure might appear to be the best sterilization though, but a qualified expert doctor should be consulted first before adopting any sterilization method.
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