New Advances in Gynecology and Birth Control

New Advances in Gynecology and Birth Control

(Originally posted Apr 16, 2014)

The past ten years have seen tremendous advances in healthcare for women. Like other areas of medicine, gynecology is also focused on offering minimally invasive procedures to patients.

Non-invasive treatments involve:

This article will discuss a revolutionary, office-based permanent birth control procedure called ESSURE® tubal ligation, which we now offer at Palm Beach Obstetrics & Gynecology.

Permanent Sterilization with Fewer Risks

Just a few years ago, a patient wanting permanent sterilization had to go to the hospital, undergo general anesthesia, have two small incisions made in her abdomen and spend the next few days recovering from the procedure. The procedure was effective, but inconvenient and somewhat risky.

We now offer our patients ESSURE® tubal ligation, a procedure for achieving permanent birth control without any incisions.

What is ESSURE®?

This procedure involves placing micro-inserts into each of the fallopian tubes. The micro-inserts are made from polyethylene fibers and a metal alloy similar to other devices used safely in the heart as well as in neurosurgery procedures.

How is the Procedure Performed?

The ESSURE® procedure is done in the office using local anesthetic. The micro-inserts are placed with the help of a scope that goes into the uterus through the vaginal approach.

Once the micro-inserts are in place, benign tissue grows into them, effectively blocking the fallopian tubes, and preventing pregnancy. After three months, the blockage is complete.

This tubal ligation procedure requires no incisions and usually takes less than 20 minutes to complete. Most patients are able to go home within an hour afterward.

How Will I Feel After the Procedure?

Typical temporary side effects include cramps, a discharge similar to a light menstrual flow or spotting, mild nausea, and light-headedness. Usually the strongest pain medication required after the procedure is ibuprofen. Most women can return to regular activities the next day.

Post-Procedure Follow Up

Patients will need to do a follow-up x-ray called a hysterosalpingogram (HSG) at three months to make sure that both ESSURE® micro-inserts are in the correct location and that both tubes are fully blocked.

Patients are also advised to use another method of contraception for at least three months after the procedure until the HSG shows that both fallopian tubes are fully blocked.

After the x-ray confirmation is done, a woman no longer has to worry about using contraception. Tubal ligation is permanent.

Is ESSURE® Safe and Effective?

Several studies have confirmed the safety and effectiveness of ESSURE®. The recently reported, five-year effectiveness rates are over 99%, making it a very reliable method of contraception.

The ESSURE® procedure is appropriate for women who are certain they do not want any more children and who want permanent birth control.

Is ESSURE® Covered by Insurance?

In most cases, your health insurance will cover this procedure. We can help you verify this with your insurance company when you come in for an appointment.

What Our Patients Are Saying About ESSURE®

Since we incorporated ESSURE® tubal ligation into our practice, we have found women to be extremely happy with their experience and telling their friends and family about it.

We are very satisfied with the safety profile and effectiveness of the procedure and recommend it as an ideal, minimally invasive, permanent birth control solution for most patients.

If you’d like to find out more about ESSURE® tubal ligation, please call Palm Beach Obstetrics & Gynecology in Lake Worth, Palm Beach Gardens, or West Palm Beach at (561) 434-0111.

Dr. Sam Lederman

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