Monday, June 11, 2012

Ask Us Anything: Can Essure Tubal Implants Be Removed?

“I had the Essure tubal implants done almost 2 years ago. My menstrual cycle has never been regular nice then, with more prominent cramping. Can the implants be removed? If I had known all of the side effects that went along with this procedure, I never would have elected to do it.”

Note: Essure is a non-surgical birth control procedure in which small, soft implants are inserted into the fallopian tubes through the natural pathways of the vagina and cervix. The Essure website states that the procedure is not easily reversible and should be considered a permanent birth control solution.
Dr. Ali Ghomi Responds:

Thank you for your inquiry.

Although irregular menstrual cycles have been reported as a result of tubal ligations or tubal occlusive procedures such as Essure, this notion has never been proven scientifically. It may be a coincidence that you experienced menstrual irregularity after the Essure procedure.

That being said, the Essure coils can be surgically removed.

The coils are designed to cause significant scarring in the proximal portion of the fallopian tubes where they meet the uterus. This scar tissue prevents the sperm from reaching the egg. If removal is necessary, that segment of the fallopian tube containing the coils and perhaps a small segment of the uterus may need to be removed.

As expected, there would be no guarantees that removing the coils would resolve your menstrual irregularities.

— Dr. Ali Ghomi

Dr. Ghomi is the Director of Minimally Invasive Gynecologic Surgery and Chair of The Robotic Surgical Committee at Sisters of Charity Hospital. He is the only physician in Western New York who performs Sacrocolpopexy Prolapse surgery using the da Vinci® robot. Sacrocolpopexy is a proven “gold standard” procedure worldwide to repair severe pelvic prolapse. Click here to learn more about Catholic Health's OB/GYN services.

Dr. Ghomi sees patients at the M. Steven Piver, M.D. Center for Women’s Health & Wellness in Buffalo.

If you have a question about your health, click here to ask our experts.

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