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"Dr. Rabin is the most personable, genuinely concerned Physician that I have had the pleasure of being a patient. I had the Essure (contraception) implants done early spring of 2007 and I am so grateful for Dr. Rabin sharing this procedure with me and performing the placement of the implants as well. I've endured a history of endometriosis and I have experience incredible pain. However, this procedure was done while I was awake and comfortable with minor pain and cramping. Dr. Rabin is such a pro at his profession that he made this procedure quick with as little pain as possible... and HE said it would HURT. Minor cramping was it!!! I feel great... It's been 8 months and I've not had complications... because I have an awesome GYN... Age 40 and feeling fabulous...thanks to Dr. Rabin" A.R.

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Our Advanced Care
 

Contraception Options

ALTERNATIVE TO LAPAROSCOPIC TUBAL LIGATION 

The Essure Procedure


The Latest Advances for Your Contraceptive Needs

We understand that finding the right contraception can be challenging and frustrating. Please tell us about your past experiences, preferences, future family plans, and medical issues. We can provide you with a thorough education and review to help you select your best form of contraception. We will work with your through the decision-making process to the implementation, monitoring, and follow up.
 
Dr. Rabin is among the first healthcare providers in Atlanta to be trained on the insertion and removal procedures of Implanon™, the latest advancement in female contraception. Implanon is a state-of-the-art single-rod implantable contraceptive that lasts for up to three years. Implanon is ideal for women who prefer not to think about birth control every day, week, or month. Implanon is reversible; it can be removed at your request. Implanon was approved by the FDA in 2006. The worldwide experience of Implanon has been stellar.
 

Essure® is another exciting contraceptive option.

Essure is a minimally invasive sterilization procedure that you may receive right in our office. Essure is a permanent, non-reversible, FDA approved female sterilization method. Unlike traditional surgical sterilization procedures (tubal ligation or "tying the tubes") or other forms of contraception,

Essure involves no scar, no incisions, no general anesthesia,

and no hormones.  

Essure uses micro-inserts that are gently placed into the fallopian tubes. Your body and the micro-inserts work together to form a natural tissue barrier that prevents sperm from reaching the egg. It is 99.8% effective. Dr. Rabin also teaches other physicians how to perform this procedure and serves as a mentor and resource for the Essure procedure.

The Essure Procedure

 

More from the Essure Website:

Essure - permanent birth control unlike any other.

  • No more worrying about unplanned pregnancy
  • No cutting or burning
  • No going under general anesthesia
  • No slowing down to recover
  • No hormones
  • No guessing - a confirmation test provides peace of mind
  • Trusted by women and doctors for over 5 years

Click here to request a consultation to see if Essure is right for you...

Benefits of the Essure procedure:

Can be performed in a doctor's office
Because there is no cutting or general anesthesia required, the Essure procedure can be performed safely and comfortably in a doctor's office.

No cutting or burning
The Essure micro-inserts are passed through the body's natural pathways and inserted into the fallopian tubes.  Unlike tubal ligation, there is no cutting into the body, burning, or destruction of the fallopian tubes.

No going under general anesthesia
The Essure procedure can be performed in your doctor's office without the need for general anesthesia.  Although some physicians may offer general anesthesia, this is not a requirement of the procedure.  You should discuss your options with your Essure physician.

No hormones
Unlike many temporary methods of birth control such as birth control pills, the patch, the ring and some IUDs, the Essure micro-inserts do not contain hormones so they will not interfere with your monthly cycle.

No guessing
Your doctor will schedule confirmation test.  A simple test given three months after your procedure verifies your fallopian tubes are completely blocked. With the Essure Confirmation Test, you’ll know you can rely on Essure as your sole form of birth control. called an HSG to when you can rely on Essure for birth control.

No slowing down to recover
Most women return to their normal activities within one day.

Short procedure time
The Essure procedure only takes about 13 minutes* for an Essure trained physician to perform. Most women are on their way in an average of 45 minutes.

Covered by insurance 
The Essure procedure is covered by most insurance providers.  If the procedure is performed in a doctor's office, depending on the insurance plan, your payment may be as low as a simple co-pay.

Effective
FDA-approved and in use for over five years, the Essure procedure is 99.80% effective based on 4 years of follow-up, and is the only birth control method with zero pregnancies in clinical trials.

Click here to request a consultation to see if Essure is right for you...

Risks of the Essure procedure

  • Perforation, expulsion, or other unsatisfactory location of the micro-insert
  • Pregnancy & theoretical increased risk of ectopic pregnancy
  • Risks associated with anesthesia
  • Pain, cramping, vaginal bleeding, menstrual pattern changes
  • Nausea/vomiting, or fainting

As with all procedures, there are risks associated with the Essure procedure.

Choosing permanent birth control is a significant decision and you should reflect, inform yourself, and discuss it with those closest to you prior to committing to permanent birth control.  Once you have explored your options and discussed the procedure in detail with your doctor, you can move forward and have the Essure procedure with confidence.

Essure may be right for you if you:

 

  • Are certain you do not want any more children
  • Want to stop worrying about unplanned pregnancy
  • Want to stop managing your temporary birth control method
  • Would like to stop taking hormone-based birth control
  • Want to avoid the incision, scarring or risks of other birth control procedures
  • Are concerned about general anesthesia
  • Want more spontaneity in your sexual relationship

You should delay your decision if you:

 

  • May want to have children in the future
  • Are pregnant or think you might be pregnant
  • Have been pregnant during the past six weeks
  • Have an active or recent pelvic infection
  • Feel pressured by someone else to have the procedure
  • Are going through major life changes, such as a divorce
  • Are managing serious health problems

The Essure Woman

 

Laura, Kendra and Gaby are patients who had the Essure procedure. These women are not paid for their participation in this interview. Each woman’s experience is unique and may vary from your experience.
     
How much pain did you have following the procedure?

Laura: They gave me Motrin to take so the pain was never very bad. It was like a bad cramp day. My left side hurt more, the right side was really nothing. I only took the Motrin the day of the procedure and the following day. I went to work the day after the procedure.

Kendra: I had only slight cramping (less that my period) when I woke up but had no pain the rest of the day. I did have some cramping and bloating 3 days following but I started my cycle at that time so it was normal for me.

Gaby: I felt cramping while the insertion device was inside the fallopian tube. Once the device was placed, the insertion implement was removed, the procedure was complete, and I had absolutely no cramping or pain.

What type of birth control did you use during your 3 month waiting stage?

Laura: Condoms

Kendra: I stayed on birth control pills until the HSG because I was already on them for several years.

Gaby: I chose to use condoms during the three month waiting period. It is the method that worked best for me.

Can you feel the devices inside of you?

Laura: No.

Kendra: I have no feeling of the devices at all.

Gaby: No, I am not aware of the devices at all. I frequently forget that they are there and I am reminded when an x-ray technician sees them.

Did your periods change after the procedure?

Laura: No.

Kendra: I have no change in periods since the procedure. I am very regular at age 45, but I was very regular before using birth control.

Gaby: No. My periods are exactly the same in flow, cramping and frequency.

Dr. Steven Rabin has provided in-office Essure procedures since 2005 and helps teach other physician how to perform this highly effective in-office procedure.  Come in for a consultation to see if Essure is right for you.

Click here to request a consultation to see if Essure is right for you...