Comparing Tubal Ligation to the Essure Procedure


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While both Essure and tubal ligation offer women a permanent birth control solution, tubal ligation is a surgical procedure for female sterilization. The Essure procedure does not involve cutting or require general anesthesia, and has a much faster recovery time. The chart below compares tubal ligation and the Essure procedure.


How is the procedure performed?	A soft, flexible micro-insert is delivered through the vagina and uterus and placed into each fallopian tube. Tissue grows into the micro-insert (usually over 3 months) and forms a natural barrier so the sperm cannot reach the egg.	Usually performed as a laparoscopic procedure, under general anesthesia. Gas is used to expand the abdomen so surgical tools can be inserted. The fallopian tubes are blocked by one of these methods: Clamping with metal clips or plastic rings Cutting away a section of the tube Burning a portion of the tube The clamps, rings, or clips remain in the body. Stitches or staples are used to close the cuts.
Effectiveness	99.95% at 1 year 99.80% at 4 years	99.45% at 1 year 98.82% at 4 years 98.15% at 10 years
Where performed?	In office	In hospital
Procedure Time	13 minutes*	30–45 minutes**
Recovery Time	1–2 days or sooner	4–6 days
Post-procedure pain/discomfort	Cramps Discharge	Cramps Discharge Pain at the wound Bloated abdomen and/or sharp pains in the neck or shoulder (due to gas used) Bruising around the wound Feeling tired and achy
Reliance and Test	Reliance can begin at 3 months when the Essure confirmation test confirms placement and blockage of the tubes.	Immediate/no test to confirm success