Getting Pregnant Again after No-Scalpel Vasectomy Compared to Essure

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call (646) 663-5922

We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger is an experienced vasectomy specialist who performs no-scalpel vasectomy with minimal discomfort for adult men who do not desire children and seek an effective permanent contraceptive option.


Pregnancy after Essure vs Pregnancy After No-Scalpel Vasectomy

Essure ReversalWhile permanent birth control methods like no-scalpel vasectomy and Essure are extremely effective, no birth control method is 100% effective. 

There is a greater chance of a serious complication called ectopic pregnancy for women who conceive with the Essure device in place.  However, some women with the Essure device have given birth to healthy babies.  Studies have shown that Essure has an unintended pregnancy rate of about 18.5 per 1,000 procedures. Vasectomy has an unintended pregnancy rate of less than 1 per 2,500 procedures, but most of these happen during the first few months.  Both Essure for women and vasectomy for men are effective birth control options.  Essure has been withdrawn from the market in the US and is no longer available.

How Can I Get Pregnant after Essure or Vasectomy?

If you change your mind after having Essure or a vasectomy and want to conceive, pregnancy may still be possible.  Vasectomy reversal surgery reconnects the pathway that was cut during vasectomy, so that sperm can once again enter the semen. Essure reversal is more complicated and involves the surgical removal of the Essure device.

Success Rate of Essure Reversal vs Vasectomy Reversal?

About 50% of men who have a vasectomy reversal are able to conceive with their partners.  Vasectomy reversal is more likely to be successful if it occurs within several years of the vasectomy, and if the man’s partner is under age 40.  About 35 to 40% of women who have Essure reversal are able to become pregnant.

Cost of Vasectomy Reversal vs Essure Removal?

Essure reversal and vasectomy reversal procedures are usually considered elective, so insurance may not cover them. At New York Urology Specialists, we offer affordable rates and convenient financing options for men who are considering vasectomy reversal, and we also accept Medicare and most major insurances.

Why choose New York Urology Specialists?

At New York Urology Specialists, we believe in a higher standard of care.  Our board-certified specialist uses a personalized approach when working with patients–he’ll take the time to walk you through all of your options and develop a customized plan to meet your permanent birth control needs.  As a highly acclaimed and internationally recognized urologist, Dr. Shteynshlyuger has over ten years of experience providing no-scalpel vasectomy, with many satisfied patients.

Comparison of Essure vs No-Scalpel Vasectomy

Essure                                                       No-Scalpel Vasectomy

Is it permanent?YesYes
Pain during procedureMinimalMinimal
Procedure LengthUnder 30 minutesUnder 30 minutes
AnesthesiaLocalLocal
Recovery TimeAbout 2 daysAbout 2 to 3 days
RisksPain, perforation, device migration, bleedingBleeding, infection, pain, sperm granuloma
Success RateOver 99%Over 99%
Patient SatisfactionHighHigh
ReversibleYes; 35-40% achieve pregnancyYes; 50% achieve pregnancy
Failure rate0.25%

0.04%

 

 


If you have any questions, to schedule a vasectomy in Manhattan or if you need a second opinion, please contact us or call (646) 663-5922

Dr. Alex Shteynshlyuger is an experienced vasectomy specialist who performs no-scalpel vasectomy with minimal discomfort for adult men who do not desire children and seek an effective permanent contraceptive option.


 

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