Essure® permanent birth control effectiveness: a seven-year survey

Update on hysteroscopic sterilisation

“…The overall effectiveness of the Essure ® contraceptive method is 99.83% . Jost et al . conducted a survey to all surgeons performing Essure ® sterilisation in France in 2013.…”

“…Most procedure failures were noted in women who failed to attend follow‐up HSG at 3 months (37–41%) and in those women in whom HSG was misinterpreted (30–35%) . Performing the procedure during the proliferative phase of the menstrual cycle reduces the likelihood of luteal phase pregnancy as does injectable contraceptive use before the procedure .…”

“…A 5‐year follow‐up phase III study showed that 20% of women had a heavy menstrual bleed, 11% a light period and the remainder had no change in the menstrual bleeding . The most frequent perioperative complication was vasovagal syncope . The most probable explanation for this high incidence is that gynaecologists performing the procedure have had a steeper learning curve; with the use of smaller diameter scopes, the incidence of vaso‐vagal syncope is reduced .…”

Anticoncepción definitiva femenina mediante técnicas endoscópicas (enero de 2014)

“…Otro estudio finlandés 28 no comunicó ningún embarazo tras la colocación de 800 dispositivos. En otro estudio retrospectivo 29 francés, que abarca un periodo de 7 años (2003-2010) se comunica una tasa global muy baja, del 0,107-0,109%. Este mismo estudio también se concluye que en la mayoría de los casos el embarazo se produce por incumplimiento del protocolo de seguimiento o por una mala interpretación de las pruebas de imagen.…”

Correct placement of the Essure device detected by transvaginal ultrasound at one month predicts correct placement at three months

“…10,11 Shavell et al showed a 12.7% compliance with HSG 3-6 months post procedure despite preoperative and postoperative counselling and suggested that additional steps to promote compliance should be utilised. 12 Long-term adherence to medical recommendations is a recognised problem in all aspects of medical practice.…”