Essure once hailed as a complete permanent birth control method, has faced scrutiny in recent years due to reports of adverse effects and difficulties with conception post-removal. If you’re among those seeking to conceive after having Essure implanted, you’re not alone. In this comprehensive guide, we’ll explore the process of getting pregnant after Essure removal, providing valuable insights and tips for navigating this journey.

Understanding Essure:

Essure is a form of permanent birth control that involves the insertion of small metal coils into the fallopian tubes. Over time, scar tissue forms around the coils, blocking the tubes and preventing sperm from reaching the eggs. While Essure was marketed as a safe and effective option for women seeking permanent contraception, concerns about its safety and efficacy have emerged.

Essure was withdrawn from the market by Bayer in 2018 due to declining sales and the increasing number of reported adverse events. Despite this, many women still have Essure implants and may be considering pregnancy after having the device removed.

Read also How to prevent ectopic pregnancy in IVF

Essure Removal Process:

If you’re considering getting pregnant after Essure, the first step is to have the device removed. Essure removal typically involves a surgical procedure known as tubal ligation reversal or tubal reanastomosis. During this procedure, the coils are removed from the fallopian tubes, allowing for the possibility of natural conception. It’s essential to consult with a qualified healthcare provider experienced in Essure removal to discuss your options and potential risks.

Some women may experience complications during or after Essure removal, such as perforation of the uterus or fallopian tubes, migration of the coils, or persistent pain. It’s crucial to thoroughly discuss the risks and benefits of Essure removal with your healthcare provider and ensure you’re fully informed before proceeding with the procedure.

Fertility After Essure:

After Essure’s removal, many women wonder about the restoration of fertility. While the procedure does allow for the possibility of pregnancy, it’s essential to understand that fertility may not return immediately. Factors such as age, overall health, and the duration of Essure implantation can impact the timeline for regaining fertility. Some women may conceive soon after Essure removal, while others may require more time and assistance.

It’s also important to consider the condition of the fallopian tubes after Essure removal. In some cases, scarring or damage to the tubes may affect fertility and increase the risk of ectopic pregnancy. Your healthcare provider can assess the condition of your fallopian tubes and guide the likelihood of natural conception.

Preparing for Pregnancy:

Preparing for pregnancy after Essure removal involves taking proactive steps to optimize fertility. This may include lifestyle changes such as maintaining a healthy diet, exercising regularly, and avoiding alcohol and tobacco. Additionally, it’s crucial to track ovulation and menstrual cycles to identify the most fertile times for conception. Consulting with a healthcare provider can provide personalized guidance and recommendations for preconception planning.

In some cases, your healthcare provider may recommend additional tests or procedures to assess your fertility and identify any potential obstacles to conception. These may include blood tests to check hormone levels, imaging tests to evaluate the condition of the uterus and ovaries, or hysterosalpingography (HSG) to assess the patency of the fallopian tubes.

Trying to Conceive:

For couples trying to get pregnant after Essure removal, timing is key. Tracking ovulation using methods such as ovulation predictor kits or fertility tracking apps can help maximize the chances of conception. Maintaining open communication with your partner and supporting each other throughout the process is also essential. While conceiving naturally is possible for many couples, some may require additional assistance from fertility treatments.

In addition to tracking ovulation, you can take several other steps to improve your chances of conceiving after Essure removal. These include:

  • Maintaining a healthy lifestyle: Eating a balanced diet, exercising regularly, and managing stress can all contribute to optimal fertility.
  • Avoiding harmful substances: Limiting your exposure to alcohol, tobacco, and recreational drugs can improve fertility and the health of your future baby.
  • Taking prenatal vitamins: Starting a prenatal vitamin with folic acid before conception can help prevent birth defects and support a healthy pregnancy.

Seeking Medical Assistance:

If you’ve been trying to conceive for an extended period without success, it may be time to seek help from a fertility specialist. A fertility evaluation can help identify any underlying issues that may be affecting your ability to conceive and determine the most appropriate course of treatment. Fertility treatments such as intrauterine insemination (IUI) or in vitro fertilization (IVF) may be recommended depending on your individual circumstances.

During your fertility evaluation, your healthcare provider will review your medical history, perform a physical examination, and may order additional tests to assess your fertility. These tests may include blood tests to check hormone levels, imaging tests to evaluate the uterus and ovaries, or a semen analysis for your partner.

Emotional Support and Coping:

Navigating the journey to conceive after Essure removal can be emotionally challenging. It’s essential to seek support from loved ones, friends, or support groups who can offer understanding and encouragement. Additionally, practicing self-care techniques such as mindfulness, meditation, or therapy can help manage stress and anxiety during the conception process.

It’s also important to acknowledge and process any feelings of grief or disappointment that may arise during this time. While the desire to start a family is natural, it’s essential to permit yourself to grieve the loss of the pregnancy that you imagined when you chose Essure as your birth control method.


In conclusion, getting pregnant after Essure removal is possible, but it requires patience, perseverance, and support. By understanding the Essure removal process, preparing for pregnancy, and seeking medical assistance when needed, you can increase your chances of conceiving successfully. Remember to take care of yourself emotionally and physically throughout the journey, and don’t hesitate to reach out for help if you need it. Your dream of starting a family after Essure is within reach, and with the right approach, it can become a reality.

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