Essure

Essure

Infobox Birth control
name = Essure


width =
caption =
bc_type = Sterilization
date_first_use = 2002
rate_type = Failure
failure_measure = first year, after occlusion
perfect_failure% = 0.2
typical_failure% = 0.2
duration_effect = Permanent
reversibility = No
user_reminders = Additional methods until 3 month check by hysterosalpingogram
clinic_interval = None
STD_protection_YesNo = No
periods_advantage =
benefits = Permanent contraception
periods_disadvantage =
weight_gain_YesNo =
risks =
medical_notes =

Essure is a permanent sterilization procedure for women developed by Conceptus Inc and approved for use in the United States on November 4, 2002.

Procedure and assessment

Micro-inserts are placed into the fallopian tubes by a catheter passed from the vagina through the cervix and uterus. Once in place, the device is designed to elicit tissue growth (scarring) in and around the micro-insert to form over a period of 3 months an occlusion or blockage in the fallopian tubes; the tissue barrier formed prevents sperm from reaching an egg.

Unlike other forms of tubal ligation, no general anaesthetic nor incision through the abdomen is required. Somewhat similar to male vasectomy procedures, initially additional forms of birth control must be continued to prevent pregnancy until the method's effectiveness can be confirmed.For the Essure method, 3 months after insertion a physician performs a special type of x-ray test called a hysterosalpingogram to confirm that the fallopian tubes are completely blocked and the patient can rely on the Essure micro-inserts for birth control. Occlusion is observed to have occurred in 96.5% of patients at 3 months with the remainder occluded by 6 months. cite web | title=Essure System - P020014 | url=http://fda.gov/cdrh/pdf2/p020014.html | date=2003-04-28 | publisher=Food and Drug Administration | accessdate=2006-12-12]

The reported insertional failure rates are "failure to place 2 micro-inserts in the first procedure (5%), initial tubal patency (3.5%), expulsion (2.2%), perforation (1.8%), or other unsatisfactory device location (0.6%)." Following successful insertion and occlusional response, the Essure procedure is 99.80% effective based on 4 years of follow-up. [cite web | title=Clinical Testing | url=http://essure.com/EssurePermanentBirth control methodsbyConceptus/Understanding/ClinicalTesting/tabid/58/Default.aspx | work=Essure | publisher=Conceptus | accessdate=2006-12-12] The Essure procedure has been demonstrated in a small portion of the women undergoing clinical studies to be 99.74% effective based on 5 years of follow-up. Five year follow-up of all patients in clinical trials is ongoing.

Cautions and warnings

The micro-inserts do not prevent the transmission of sexually transmitted diseases. The procedure takes about 35 minutes for a trained physician to perform and can be performed in a physician's office. General anesthesia is not required. Unlike many temporary methods of birth control, the Essure micro-inserts do not contain or release hormones.

The micro-inserts are made from polyester fibers, nickel-titanium and stainless steel are safe to use with MRI equipment. There is no data on reversing Essure and any attempt would require major surgery and likely be unsuccessful.Additional birth control must be used for 3 months after procedure. cite web | title=Prescribing Information | url=http://www.essuremd.com/Portals/0/Skins/Conceptus_Skin/PDFs/CC-0366-prescribing-info.pdf | format=PDF | work=Essure | date=2005-09-08 | publisher=Conceptus | accessdate=2006-12-12]

Risks

* Perforation, expulsion, or other unsatisfactory location of the micro-insert
* Pregnancy and increased risk of ectopic pregnancy
* Pain, cramping, vaginal bleeding, menstrual pattern changes
* Nausea/vomiting, or fainting
* Vasovagal response
* Allergic reaction to the materials

Notes

External links

* [http://www.essure.com Essure official site]


Wikimedia Foundation. 2010.

Игры ⚽ Нужна курсовая?

Look at other dictionaries:

  • Essure — est une méthode de contraception définitive pour les femmes, développée par la société Conceptus Inc, et dont l’utilisation a été approuvée en 2002 en France. Il s agit d une méthode de stérilisation tubaire par voie hystéroscopique. Procédure… …   Wikipédia en Français

  • Essure — Saltar a navegación, búsqueda Essure es un método de contracepción permanente sin hormonas ni incisiones. Contenido 1 Procedimiento 2 Precauciones 3 Posibles efectos secundarios …   Wikipedia Español

  • Conceptus Inc — Conceptus, which is headquartered in Mountain View, California, was founded in 1992. The company began development of micro catheter and guidewire systems that allowed physicians to access and navigate the fallopian tubes using a non incisional… …   Wikipedia

  • Ligature Des Trompes — Médecine Sciences fondamentales Anatomie Physiologie Embryologie Histologie Génétique Bioéthiqu …   Wikipédia en Français

  • Ligature des trompes — La ligature des trompes est une procédure chirurgicale de stérilisation qui offre une contraception permanente et fiable aux femmes. L occlusion des trompes est une méthode de régulation permanente des naissances par une chirurgie qui est… …   Wikipédia en Français

  • Sterilisation (chirurgie) — Stérilisation (chirurgie) Pour les articles homonymes, voir Stérilisation. La stérilisation est une méthode de contraception qui fait emploi d une procédure chirurgicale (vasectomie chez l homme ou ligature des trompes chez la femme) et qui offre …   Wikipédia en Français

  • Stérilisation (chirurgie) — Pour les articles homonymes, voir Stérilisation. La stérilisation est une méthode de contraception qui fait emploi d une procédure chirurgicale (vasectomie chez l homme ou ligature des trompes chez la femme) et qui offre une contraception… …   Wikipédia en Français

  • Ligadura de trompas — La ligadura de trompas es un método anticonceptivo consistente en la selección y ligadura de las trompas de Falopio, lugar habitual de la fecundación, que comunica los ovarios con el útero. Es el método anticonceptivo que más se usa en el mundo:… …   Wikipedia Español

  • Conceptus Inc. — Conceptus Inc. (NASDAQ: CPTS) is an American medical products manufacturer and developer. Founded in 1992, the corporation is headquartered in Mountain View, California. The company began development of micro catheter and guidewire systems… …   Wikipedia

  • Sterilization (medicine) — This article is about sterilization of humans. For sterilization of animals, see Neutering. Sterilization Background Birth control type Sterilization First use Ancient Failure rates (first year) Perfect use …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”