Efficacy of Essure hysteroscopic sterilization – 5 years follow up of 1200 women

Abstract

Essure has the lowest Pearl index never published being the most effective permanent birth control system to date. Unintended pregnancies tend to occur in the first year after the insertion, and can be avoided encouraging women to accomplish the protocol.

Association of Hysteroscopic vs Laparoscopic Sterilization With Procedural, Gynecological, and Medical Outcomes

“…A second sterilization procedure following hysteroscopic sterilization is a well-identified risk already described in phase 2 and 3 studies, in which the risk varied between 4.0% and 4.5%. In the present study, this risk was 4.1% at the 1-year follow-up, comparable with that reported in previous studies conducted in real-life conditions in patients who received care in public or private hospitals and much higher than after laparoscopic sterilization.…”

Sterilization

“…37 One 5-year follow-up study reported a failure rate of 0.25%. 38 Clinical experience with Essure has demonstrated significantly more loss to follow-up for the confirmatory HSG than expected. Compliance with the required follow-up HSG varies, from 13% to 94%.…”

Contraception for the Medically Challenging Patient

“…The long-term effectiveness of transcervical sterilization still needs to be fully assessed. Studies of women who have undergone successful bilateral coil placement and who demonstrate complete bilateral occlusion have demonstrated cumulative failure rates of only 0.25 % over 5 years [ 221 ]. However, a recent decision analysis found that of all women who initiate this sterilization method, only 85-86 % are effectively sterilized at 3 months [ 222 ].…”