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ESSURE Sterilization is a new tubal occlusion technology that was first approved for the use in the United States in 2002. The ESSURE sterilization procedure involves inserting the ESSURE device into the opening of the fallopian tubes inside of the uterine cavity via hysteroscopy. Click ESSURE for a video animation of the procedure. The ESSURE device is effective in preventing pregnancy and is intended to be permanent.
ESSURE sterilization is reversible. To accomplish this, the ESSURE device must be carefully extracted from within the lumen of the fallopian tube. Depending upon the quality of the interstitial portion of the tube either a tubal reanastomosis or tubouterine implantation is performed through a small abdominal incision. The procedure is performed on an outpatient basis. The cost for the ESSURE sterilization reversal is the same as for all other types of reversals that we perform.
Though there is not enough available data to determine actual pregnancy rates following an ESSURE sterilization reversal, we expect similar pregnancy rates (70%) as with all other tubal sterilization reversals. While pregnancy after reversal is possible, other additional procedures done at the time of the ESSURE sterilization procedure may decrease the overall pregnancy success rate. The two most common additional procedures combined with the ESSURE sterilization are endometrial ablation and an additional tubal ligation procedure. Endometrial ablation may increase the risk of miscarriage and other pregnancy complications.