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The two options for permanent female sterilization are transabdominal tubal surgery or hysteroscopic placement of flexible metal coils (Essure implants) at the tubal-uterine junction. After receiving reports of complications following Essure insertion, the FDA concluded that the risks and benefits of Essure sterilization were not being adequately communicated, and recommended that a boxed warning (see http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm529241.htm) and a patient decision checklist be developed.
The patient decision checklist includes the following key points:
Essure is a permanent form of birth control.
There are other options for permanent sterilization as well as highly effective contra…