Essure vs tubal

ippichic

I am due in May w/ #2 and will be having another c-section.  I will be 44 so we are done, done, done.  I asked about a tubal ligation after the c-section at my last OB appointment, and my doctor gave me a brochure about "Essure" which doesn't seem to be the same thing.

Anyone know the difference and have experience or intel they can share?  I'm not sure if I should push for a regular tubal or if  "Essure"  is the way to go.

mkwt

I had a c-section in March and was schedulded to do the Essure in May, but I had some complications from the c-section and some serious post partum issues so I delayed it.  I had the Essure done in November.  They place these "spring looking things" into my tubes, it takes about 3 months for my skin to attach around them and block my tubes.  I had it done in my doc office under general anesthia and have had no complications thus far.  I have to go back in Feb and I think they will do a saline ultrasound to make sure my tubes are blocked.  As for the other way I don't have info to help you. 

pepomntpat

I don't have any experience but I'm finding their website very informative.

https://www.essure.com/what-is-essure/common-questions 

sem179

I am an OR nurse and see a lot of both of these at work. The main difference is the Essure is done through the vagina and uterus, and therefore less "invasive" than a laparoscopic tubal ligation. You would probably have some menstrual type cramping and possibly some light bleeding, but otherwise comfortable to go about your daily routine the next day or so. The tubal ligation would be a more invasive surgery with recovery time. They are both considered permanent procedures, but like someone else said, you would need to do a follow-up ultrasound to make sure it worked.

There are also different ways to do a tubal. Some docs cut the tubes, some put a clip on the tube, some put a rubber band-like implant around the tube. I would find out which one your doctor uses and make sure you are comfortable with that option as well.

XCrissCrossX

Essure is less invasive-- but if you're sliced open for the c-section, you might as well get the tubal. II'm not positive but I don't think Essure can happen while you're having your c-section- you'd have to wait several weeks to have it done.

mrsseguin

I'm an L&D nurse.  If your going for a c/s anyway and you know your done, I'd just get your tubes tied.  Essure is usually done in the doctors office, it's another procedure you'd have to go through.  They are both considered permanent forms of BC.  When we have a 3rd, it will be a repeat c/s, I'll get my tubes tied.  If I had vaginal deliveries, I'd get essure done.

ippichic

Thanks everyone for your information.  I am leaning toward a tubal rather than the Essure.  Not sure why, I think the idea of having little things inside me doesn't appeal to me, for whatever reason.  Maybe I'm just not comfortable with the new idea...

penguingrrl

I've looked into both and am not comfortable with essure. I don't like the idea of having springs permanently in my body, not to mention it's a brand new procedure so nobody knows the long-term effects of it yet. If I have  a second VBAC this time around then DH will go for a vasectomy, if I have a  RCS then I'll have a tubal during my c section. If for some reason I can't have it done during that DH will get a V.

happywife2b

Essure is very very permanent. It's like a spongy spiral of stuff that they insert into your fallopian tubes right where they join your uterus. First they upbraid the tissue, then insert the Essure thing. The whole point is kicking the body into healing mode so that it forms scar tissue around the Essure, blocking the tubes permanently. This is how my Dr described the process to me when I asked, because the pamphlet was rather vague. I am going to do more research when the time grows nearer. Reviews, and such.

philkristi

Not sure if you are still checking this message, but I had #2 almost 1 year ago!  And we were for sure done done done.  I'm 36 but knew 100% we were done.  I had c-section with both of my kids and had a tubal done.  It was no different than the regular c-section...the only difference is your on the table maybe an extra 5 minutes, but when that is going on you are looking and holding baby etc.  Both of my csection recovery's were almost exactly the same so I noticed no difference except I don't have to worry about getting pregnant now!