A number of patients have contacted us about removing Essure devices. We do not guarantee that removal of these devices will change any particular symptom. But we do have many patients that have some relief of symptoms and it usually is dramatic. We have removed enough of these devices to say for sure that removal is helpful in most patients.
There does seem to be a thread of common symptoms in patients that have the Essure implant procedure. We hear about heavy bleeding, cramps, joint problems, metallic taste in the mouth, skin rashes, hair loss, depression and other problems.
Essure Removal is the procedure for women who are not wanting to get pregnant again. We started offereing Essure Reversals, but due to the overwhelming response of patients who just wanted the Essure coils removed due to adverse reactions, we now also offer the Essure Removal. This procedure is the microsurgical removal of the Essure without reimplantation of the fallopian tubes. This operation removes the Essure devices without restoring the patient’s fertility.
We have set an all inclusive fee of $4500 for this procedure. There is more about our all-inclusive fees on the “prices” page.
A word of caution, some patients have been told the only way to remove these devices is with a hysterectomy and that is very dangerous and wrong. The only safe way to get rid of an Essure is with a microsurgical technique. This is something our doctor’s truly believe, as there is no way to remove these devices by pulling them out or to completely remove them with a laparoscope. An attempt to remove the Essure devices with hysterectomy or laparoscopy can leave part of the Essure in the patient.
The Essure device is a pair of concentric springs about the diameter of the lead in a mechanical pencil. The device is made of a nickel allow, called Nitinol, this material is used to cause a tissue reaction, in which the fallopian tube grows around the coil.
We will remove your Essure with an outpatient procedure in about 30 minutes with an incision 2 inches wide right above your pubic hair line. The down time for this procedure should be around 3 days, including travel.
Patients will tell us “if I have a hysterectomy my insurance will pay for getting rid of the Essures”. If you consider you will have a deductable to pay and your loss wages during 2-3 weeks of recovery it may be less expensive to let us take them out.
The company that marketed the Essure devices previously recommend that they not be implanted in patients without testing for nickel allergy. The Essure coils are made of an alloy of nickel. If you have trouble with inexpensive gold jewelry you may be allergic to nickel. Between 10-15% of women are allergic to nickel and this is probably the source of some of the problems patients have.
The end of the Essure devices protrudes into the uterine cavity like an IUD. IUD’s are known to cause bleeding and cramps so this may be leading to some of these problems as well.
If you are considering in vitro fertilization (IVF) you should have your Essure devices completely removed. The presence of the end of the Essure in the uterine cavity can prevent the fertilized egg from implanting in the womb and growing into a baby. The uterus acts like it knows something foreign is in the cavity and tries to expel the embryo like it does with a miscarriage.
We receive many questions from people asking us why it’s important to remove Essures with microsurgical guidance, if you have additional questions, please contact our Case Management Specialists and they will be able to discuss further with you or your questions will be addressed by Dr. Greene or Dr. Turner.