In-Office Procedures — Tubal Sterilization

Traditionally, female sterilization was accomplished by a surgery performed in the hospital involving abdominal incisions and general anesthesia. More recent advances have led to a procedure that can be performed in the clinic. The Essure® procedure involves the insertion of permanent coils into the fallopian tubes. Over the next 12 weeks, the coils initiate scarring of the tubes, blocking passage of the egg at ovulation. It is necessary to continue using contraception during this time.

After 3 months, a specialized X ray (called hysterosalpingogram, or HSG) is performed. Special dye is injected into the uterus to confirm complete blockage of both fallopian tubes. This is a permanent form of birth control that is not considered reversible. Couples considering pregnancy after Essure® would require in vitro fertilization.