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.

