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Related Concept Videos

Birth Control Methods01:22

Birth Control Methods

Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
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Related Experiment Video

Updated: May 14, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Essure® permanent birth control effectiveness: a seven-year survey.

S Jost1, C Huchon, G Legendre

  • 1Department of Obstetrics and Gynecology, Centre Hospitalier de Versailles, 177 rue de Versailles, 78150 Le Chesnay, France. jost.stephanie@hotmail.fr

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 5, 2013
PubMed
Summary

Essure sterilization is generally safe, but unintended pregnancies can occur. Improving patient education and physician adherence to the 3-month confirmation test can reduce Essure pregnancy risks.

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Area of Science:

  • Reproductive Medicine
  • Gynecological Surgery
  • Contraception

Background:

  • Essure hysteroscopic sterilization is a widely used permanent contraception method.
  • While generally considered safe and reliable, data on pregnancy rates in specific populations are crucial for informed patient counseling.

Purpose of the Study:

  • To report the incidence and associated factors of unintended pregnancies following Essure hysteroscopic sterilization in France.
  • To evaluate the effectiveness of Essure sterilization based on national data.

Main Methods:

  • A retrospective national survey of Essure procedures performed in France between January 2003 and September 2010.
  • Data collection involved surgeon outreach, covering 63.4% of all Essure procedures in France.
  • Analysis of 58 reported unintended pregnancies, identifying contributing factors.

Main Results:

  • Fifty-eight unintended pregnancies were reported during the study period.
  • Key factors included patient non-compliance with follow-up (38%) and misinterpretation of the 3-month confirmation test (33%).
  • Physician protocol deviations and undetected pre-procedure pregnancies were also noted, with an estimated pregnancy rate of 1.07-1.09/1000 procedures.

Conclusions:

  • Essure sterilization demonstrates a low pregnancy rate, but risks exist.
  • Enhancing patient education and physician knowledge regarding the 3-month confirmation test is vital for minimizing pregnancy risks.
  • Adherence to protocol and proper follow-up are critical for the success of Essure sterilization.