Q:

What is the process for reverse sterilization with Essure removal?

A:

Quick Answer

According to HealthGuidance.org, reversing Essure sterilization requires one of several microsurgical procedures. In one, called a tubouterine implantation, a doctor separates the healthy part of the fallopian tube from the uterus, removes the Essure coils from both sides of the uterus, opens the uterine wall and inserts the healthy portion of the fallopian tube into the opening.

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Full Answer

The North Carolina Center for Reproductive Health uses a different method of Essure reversal that they call tubocornual implantation. They stress that the opening in the uterus is a perfectly round hole and that the healthy fallopian tube is pulled through sewn into it from both sides. They then look into the uterus with a camera to check the tubes' placement and insert a stent into the tubes to make sure they are open.

The Tubal Reversal Experts in Clearwater, Fla., warn against tubocornual implantation, suggesting it can increase chances for uterine rupture during labor. Instead they advocate for anastomosis, which the National Institutes of Health define as a surgical connection between two structures, especially tubular structures. The Tubal Reversal Experts suggest removing the Essure, dilating the fallopian tube with tear-duct probes and reattaching the tube to the uterus. This microsurgery is also outpatient, requires general anaesthesia and a 2- to 4-inch incision.

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