Essure vs. Tubal Ligation

Essure and tubal ligation are effective methods for permanent pregnancy prevention. Here’s a quick comparison.


With Essure, we place soft, flexible inserts into your fallopian tubes through the natural pathways of your vagina and cervix. No incision is necessary.

Tubal ligation requires surgery and usually general anesthesia. Your fallopian tubes are either clamped, cut, or burned, and stiches or staples are needed to close the incision.


Both are effective. At five years, Essure reports 1.7 pregnancies per 1,000 women. Tubal ligation at five years averages 13.1 pregnancies per 1,000 women.


Essure can be performed in our office, whereas tubal ligation requires a hospital stay. Essure recovery time is about a day. Tubal ligation recovery time is 4-6 days in many cases.


Cramps and discharge can occur after Essure. With tubal ligation, expect cramps, discharge, pain at the wound, and bruising.


Essure enables us to confirm that the fallopian tubes are blocked three months after its completion. Confirmation is not possible after tubal ligation.