Long-term follow-up after successful Essure sterilization: evaluation of patient satisfaction, symptoms, and the influence of negative publicity

After a 144-month follow-up of Essure sterilization, 49.5% of women reported symptoms and 16.1% underwent removal surgery. Negative publicity had an influence on patients’ decision regarding Essure removal surgery.

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Volume 112, Issue 6, Pages 1144–1149

Authors:

Sara E. Siemons, M.D., Michel P.H. Vleugels, M.D., Ph.D., Sebastiaan Veersema, M.D., Ph.D., Didi D.M. Braat, M.D., Ph.D., Theodoor E. Nieboer, M.D., Ph.D.

Abstract:

Objective

To evaluate long-term patient satisfaction and symptoms after successful Essure sterilization and the influence of negative publicity on patients' opinion.

Design

Survey study.

Setting

Two nonacademic hospitals.

Patient(s)

All 924 women who underwent successful Essure sterilization between 2003 and 2009.

Intervention(s)

A questionnaire was sent between 2008 and 2010 and in 2018.

Main Outcome Measure(s)

Patient satisfaction, symptoms, and the influence of negative publicity on patients' opinion of Essure sterilization.

Result(s)

After a median follow-up of 29 months, 689 of 924 women (74.6%) responded to the first questionnaire. Of these women, 673 of 689 (97.7%) was satisfied with their Essure sterilization and 607 of 689 (88.1%) recommended Essure sterilization to other women. Of the 689 women, 71 (10.3%) reported having symptoms after Essure sterilization for which they had to consult a physician. Most reported symptoms were menstrual and abdominal pain. After a median follow-up of 144 months, 317 of 577 women (54.9%) responded to the second questionnaire. A total of 157 of 317 (49.5%) women reported having symptoms and in 51 (16.1%) women the Essure devices were surgically removed. Among these women, 29 (57%) reported that their symptoms disappeared afterward and 33 of 51 (65%) women reported that negative publicity had somehow affected their decision to undergo surgery.

Conclusion(s)

After a follow-up of 144 months, approximately 50% of the women reported having symptoms and 16% underwent Essure removal surgery. Publicity had a negative influence on patients' opinion of Essure sterilization, as well as an effect on the decision-making process regarding Essure removal. These data are important when facing women with possible Essure-related complaints.


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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