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Friday, December 20, 2013

Essure Permanent Birth Control and ThermaChoice

Yesterday, I had my procedure for essure permanent birth control control done. I have decided to have my tubes tied, and this is a big decision for me. After years of begging for the doctor's permission to tie my tubes, because of my endometrosis and ovarian cysts. But, the doctors decided, albeit probably correctly, that I was too young.

However, on the 17th, my doctor finally recommended it. The best thing of all was that I had no copay! It was covered completely! I also want to mention that I've lost 30 pounds since July of 2013 when I went into the doctor's office.

He suggested Essure. To read more about it please click here:

He suggested ThermaChoice in addition. To read more about it please click here:

I never planned on having children, so if I decide to have a baby later, I will adopt. I've come to peace with that. I just want some of this pain to end. I deal with enough pain in my stomach and digestive system, if I can get rid of the pain in my reproductive system, I might have sort of a chance to leave a better life with this procedure.

Gastroparesis seems to make the endometrosis worse, so if I can eliminate some of that pain, that would be amazing. Additionally, to get me ready for the procedure so I wouldn't feel any pain, he gave me two dilaudid, a valium, toradol, and a nerve block. I felt pressure but not a whole lot of pain.

According to Planned Parenthood's website, they describe the Essure procedure and benefits:

Permanent contraception (sterilization) is the most common form of birth control for women over the age of 30 and the second most common birth control method for all women of child-bearing age.

Essure offers women whose families are complete a proven and easy birth control choice that doesn’t require incisions, hormones or slowing down to recover. Women who choose Essure never have to worry about birth control again – no daily pill, no side effects, no quick trips to the pharmacy.

We are pleased to offer Essure, a permanent birth control procedure that works with your body to create a natural barrier to prevent pregnancy. The Essure procedure offers women benefits that no other permanent birth control can.

The Benefits of Essure:


During the procedure, the Essure inserts are placed in the fallopian tubes through the natural pathways of the vagina and cervix, with no incisions and no surgery.


Unlike many temporary methods of birth control, the Essure inserts do not contain hormones. Therefore, they will not interfere with your monthly cycle nor cause the side effects that many women experience with hormone-related birth control.

Virtually recovery-free

Following the Essure procedure, most women return to their normal activities in less than a day.
Most effective

Essure is proven to be the most effective permanent birth control available, based on five years of clinical data.

More than half a million women have chosen Essure as their permanent birth control since 2002. Additionally, the Essure inserts are made from the same proven materials that have been used in heart stents for many years.

What to Expect:

During the procedure, your doctor will slide small, soft inserts through the natural pathways of your vagina and cervix into your fallopian tubes. No incisions are necessary, and this process typically takes less than 10 minutes. The inserts are designed to allow your doctor to see immediately that they have been properly placed. Anesthesia is not required for the procedure, although some doctors may offer it. Some women report mild discomfort or cramping during or after the procedure that is similar to a normal monthly cycle. Most women go home within 45 minutes of having the Essure procedure, and return to normal activities in less than a day.

Over the next three months, your body works with the Essure inserts to form a natural barrier within your fallopian tubes. These barriers prevent sperm from reaching the eggs so that pregnancy cannot occur. During this time, you and your partner will need to continue to use another form of birth control.

You will continue to have a regular menstrual period, but some women who have had the Essure procedure find that their period changes afterward, becoming slightly lighter or heavier. These changes may be due to discontinuing hormone-based birth control, such as the Pill, and returning to your normal cycle. Your ovaries will continue to release eggs, but they will be absorbed through your body’s normal process.

That’s it! Now you can focus on yourself, your family and the life you have created, with the confidence that you are protected from unplanned pregnancy.

Like all permanent birth control procedures, the Essure procedure is not reversible. You should make sure you do not want to get pregnant in the future.

The Wikipedia article for Essure can be found here:

He also gave me a shot of Depo Provera, so I would be covered until things heal over.


This is a procedure the doctor is going to do for me in three months. He wants to make sure that the Essure procedure has completely blocked off before he does this.

You can read about it more at this link ( but this is what the website says,

GYNECARE THERMACHOICE® Uterine Balloon Therapy with Fluid Circulation offers an effective, nonhormonal treatment for heavy periods, also known as menorrhagia. GYNECARE THERMACHOICE® is a minimally invasive, 8-minute procedure that can be performed in your doctor's office or in a hospital. What happens during the procedure? GYNECARE THERMACHOICE® uses a method called global endometrial ablation (GEA) to remove the endometrium, the lining of the uterus (womb).

Under local anesthesia, the doctor inserts a small silicone balloon into your uterus, which is filled with fluid and then gently heated to treat the lining of your uterus. No incision is required. You may feel a slight warmth or pressure during the treatment time, which is 8 minutes; the entire appointment usually lasts approximately 30 minutes. See step by step how GYNECARE THERMACHOICE® works.

In most cases, patients can resume their normal activities the next day.

What happens after the procedure?

The first postoperative check-up usually occurs within 7 to 10 days after the procedure, and your doctor may determine that sexual activity can resume after that check-up. Your first few periods after the procedure may continue to be heavy, with improvement thereafter. Some women experience a pinkish watery discharge for about 2 weeks that can last as long as 1 month.

All medical procedures carry risks. Talk to a doctor to determine whether GYNECARE THERMACHOICE® might be the right choice for you. Find a doctor familiar with GYNECARE® products who can provide treatment.
What are the risks with GYNECARE THERMACHOICE®?

All medical procedures present risks, so talk to a doctor about whether GYNECARE THERMACHOICE® is right for you. Find a doctor familiar with GYNECARE® products who can provide treatment.

As with all procedures of its type, GYNECARE THERMACHOICE® poses a risk of injury to the uterus and surrounding tissues. Most common side effects include discharge, cramping, nausea and vomiting.

Global endometrial ablation procedures, including GYNECARE THERMACHOICE® III Uterine Balloon Therapy System, are intended for pre-menopausal women with heavy bleeding due to benign causes who do not wish to become pregnant in the future. It is not appropriate for a patient who is pregnant or wants to become pregnant in the future. Becoming pregnant after this procedure can be dangerous for both the mother and the fetus.

Pregnancy after ablation is unlikely, but if it does occur, you and your baby could be at risk because the endometrial lining of the uterus has been removed. After treatment, you will need to continue to use a birth control method that is appropriate for you. There are several options available for birth control. You should discuss these options with your doctor.

For a complete description of risks related to this treatment, please see the Potential Adverse Effects section of the Risk Information.

The information represents no statement, promise or guarantee by Ethicon, Inc., concerning insurance coverage, levels of reimbursement, payment, or charge. Please consult your payor organization with regard to local or actual coverage determination processes.

This will get rid of my painful periods permanently. That would be amazing because they hurt and are erratic. So, I will be sterile with no periods, but I get to keep my ovaries so I don't need hormone replacements. This was a tough decision for me but I knew I could never carry kids to term. So, I figured that this would help the pain. And I need all of the help I can get with pain because Gastroparesis causes enough pain in itself.

So, I am very happy and a little sad, but I'll be OK. I think I've done the best possible thing that I could do for me and wanted to write about it because I had never heard of these procedures before.

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