Sometimes called fallopian tube occlusion, the nonsurgical permanent contraception procedure can be performed in your doctor's office with local anesthesia. With the Essure system, your health care provider uses a special instrument called a hysteroscope to place tiny spring-like coils called micro inserts through your vagina and cervix into the opening of your fallopian tubes in your uterus. There is no incision. Within three months, the inserts cause your body to form a tissue barrier that prevents sperm from reaching the egg. During this three-month period, you need to use another form of birth control. After three months, you have to return to your health care provider's office for a special x-ray to make sure your tubes are completely blocked. In clinical studies, most women reported little to no pain and were able to return to their normal activities in a day or two. However, in 2016, the FDA ordered changes in the package labeling for Essure to include a boxed warning and a "patient checklist," both designed to ensure that women understand the risks and benefits of the device. The FDA is also requiring the manufacturer of Essure to conduct a clinical study to determine risks of Essure for particular women. Be sure and talk with your health care provider about any potential risks and benefits to you. However, only recently the FDA restricted it's use, since not all women are well aware of the procedure and it's risks. To know more about the reasons of its restriction, click here. Source
