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The Essure Tubal Ligation Procedure

By Dawn Stacey M.Ed, LMHC, About.com

Updated: April 28, 2008

About.com Health's Disease and Condition content is reviewed by Meredith Shur, MD

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What To Expect After the Essure Procedure

Women who were a part of the Essure Pivotal Trial were typically able to go home within 45 minutes after the having the procedure, and almost all working women resumed work within 24 hours or less. The majority of women returned to normal activities within 1 to 2 days, but many women reported that they were able to resume normal physical activities the same day as the procedure.

After having a hysteroscopic sterilization procedure, women have reported experiencing:

  • Vaginal bleeding caused by the movement of the uterus during the procedure

  • Mild to moderate pain and/or cramping for a few days following the procedure

  • Temporary changes to their menstrual cycles (heavier or longer than normal periods, bleeding or spotting between periods)

  • Pelvic, abdominal, and/or back pain

  • Regret about their decision

You can resume sexual intercourse as soon as you feel up to it, and it does not cause pain. For most women, this takes about one week after surgery. It is essential that you use a back-up birth control method for the first 3 months after the Essure insertion. It takes about this amount of time for the scar tissue to build up around the coils, thereby blocking the fallopian tubes. Until it is confirmed that the tubes are blocked, another contraceptive method must be used.

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