Tubal ligation and in-office Essure
Tubal ligation, also known as having your “tubes tied,” can be done during a C-section or as a laparoscopic procedure while you are recovering from childbirth or any other time. The Fallopian tubes are cut and sealed or clamped and blocked to prevent sperm from being able to pass a certain point. Tubal ligation is done as an outpatient procedure.
Having your tubes tied is meant to be a permanent form of birth control, so you should be certain you do not want to get pregnant again before undergoing it. While tubal ligation is reversible, the procedure is not always effective.
Tubal ligation is extremely effective, but not foolproof. After one year, five out of 1,000 women with tubal ligations will become pregnant. After five years that number goes up to 13. This is because in rare cases the tubes can grow back together or a new canal can form.
Tubal ligation does not protect against sexually-transmitted diseases.
Essure is a non-hormonal form of permanent birth control where tiny implants are placed in the Fallopian tubes to block sperm from passing. The implants are made from the same material as heart stents, including a nickel-titanium alloy. Over time, scar tissue grows around the implants, permanently closing off the tubes. Essure implants can be placed as an in-office hysteroscopic procedure, meaning the doctor accesses your Fallopian tubes through your vagina and uterus, and no incisions are necessary.
Essure is meant to be a permanent form of birth control, so you should only consider Essure if you are certain you do not want to get pregnant again. Essure has been shown to be over 99% effective in a five year clinical trial.
Essure does not protect against sexually-transmitted diseases.