A doctor must perform your sterilization. Depending on the procedure, it can be performed in a doctor’s office or hospital.
For a tubal ligation, you will need anesthesia. Your doctor inflates your abdomen with gas and makes a small incision to access your reproductive organs with the laparoscope. Then they seal your fallopian tubes. The doctor may do this by:
- cutting and folding the tubes
- removing sections of the tubes
- blocking the tubes with bands or clips
Some sterilization procedures require only one instrument and incision, while others require two. Discuss the specific procedure with your doctor in advance.
Nonsurgical sterilization (Essure)
Currently, one device has been used for nonsurgical female sterilization. It was sold under the brand name Essure, and is the process it’s used for is called fallopian tube occlusion. It consists of two tiny metal coils. One is inserted into each fallopian tube through the vagina and cervix. Eventually, scar tissue forms around the coils and blocks the fallopian tubes. Essure has been recalled in the United States, effective December 31, 2018.
In April 2018, the U.S. Food and Drug Administration (FDA) restricted its use to a limited number of health facilities. Patients had reported pain, bleeding, and allergic reactions. Also, there have been instances of the implant puncturing the uterus or shifting out of place. More than 16,000 U.S. women
U.S. women are suing Bayer over Essure. The FDA
has acknowledged that there have been serious problems associated with the contraceptive and has ordered additional warnings and safety studies.