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The Essure Permanent Birth Control Procedure

By , About.com Guide

Updated April 13, 2009

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The Hysterosalpingogram (HSG) Test

Essure Scar Tissue - 3 Months

Photo Reprinted with Permission from L. Rafeld
A test called a hysterosalpingogram (HSG) is performed three months after your Essure procedure to confirm whether or not the fallopian tubes are permanently blocked. This test should be scheduled in the week after your period to ensure that you are not pregnant. You will probably need to sign a consent form as well.

The HSG will be performed in a radiology department using a table with an x-ray machine overhead. Be prepared to lie on the table and place your feet in stirrups, as you do during a pelvic exam. At this time, a dye will be injected through your cervix and uterus via a thin catheter. Then, an x-ray is taken to produce pictures of the uterus and fallopian tubes. The HSG will reveal if the coil implants are in the correct position and show if the tubes have been successfully blocked. If they are, you will no longer have to use another birth control method. Again, a additional contraception should be used until an HSG test confirms that the fallopian tubes are fully blocked by scar tissue.

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