Permanent Birth Control


What is Essure®?

Essure® is a permanent birth control procedure that works with your body to create a natural barrier against pregnancy and is the only non-surgical permanent birth control available.

  • Non-surgical—Essure is a short 10-minute procedure that can be performed right in your doctor’s office. There’s no downtime to recover—most women go home within 45 minutes and resume normal activities in 1-2 days
  • Proven—Essure is 99.83% effective*
  • Non-hormonal—Essure inserts do not contain or release hormones
  • May be available at no cost—Essure may be covered by your health insurance plan at no cost†
  • FDA-approved and available for over 10 years

What makes Essure effective?

The Essure inserts are designed to bend and conform to the shape of your fallopian tubes while remaining securely in place. Over time, Essure works with your body to form a natural barrier that keeps sperm from reaching the eggs, preventing pregnancy. While the natural barrier forms, another form of birth control must be used.

The soft, flexible Essure inserts are designed to be placed through the natural pathways of your vagina and cervix so no incisions are needed.

The Essure inserts do not contain hormones and are made from some of the same material that is used in heart stents and other medical devices. The Essure insert is made of materials that include a nickel-titanium alloy. Patients who are allergic to nickel may have an allergic reaction to the inserts. Symptoms include rash, itching, and hives.

*Based on 5-year clinical study data.
† Some restrictions may apply. Visit to learn more or contact your health insurance provider.
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Birth Control Pills


  1. Begin taking your pills the first day of your next period. Take your pills in the order they appear in the pack.
  2. Take one pill every day at approximately the same time of the day. When you finish a pack of pills, start the next pack the next day.
  3. Use a back up method (condoms and foam) of birth control the first month you are on the pill.
  4. If you forget one pill, take TWO the next day.
  5. If you forget two pills, stop, wait for a period and start as stated in #1. Use a back up method for the rest of the pack.
  6. On the day you start your last pack of pills, call the office to make an appointment for sometime in the next four weeks.


When you start taking the pill, you may notice some of the following:

  • Nausea
  • Weight gain
  • Breast tenderness
  • Spotting between periods

These side effects usually disappear within two months after starting the pills. If they do not disappear, call the office. Your practitioner may need to change your birth control pills. DO NOT STOP TAKING YOUR PILLS! If you need to stop your pills, please call the office and we will help you find another form of contraception.


If you notice any of the following symptoms, contact the office immediately:

  • Sharp pain in the chest, coughing up blood, or sudden shortness of breath
  • Pain in the calf of the leg
  • Sudden severe headache or vomiting, dizziness or fainting, disturbance of vision or speech or weakness and numbness in the arm or leg
  • Breast lumps
  • Severe pain in the abdomen
  • Severe depression
  • Yellowing of the skin


  • If you suspect you are pregnant, stop taking the pills; use a back up method of birth control and take a pregnancy test.
  • If you wish to become pregnant, there is no need to wait several months after stopping the pill. This is a myth. Just stop and assume your most fertile time will be in the second to third week after the first day of placebo pills.