--- title: Permanent Birth Control description: Skip the scalpel. Two minutes, two inserts--and your childbearing years are over canonical: https://time.com/archive/6687251/permanent-birth-control/ author: Jeninne Lee-St.John article:opinion: false article:content_tier: free article:published_time: 2008-12-11T05:00:00.000Z article:modified_time: 2026-04-22T06:07:20.441Z article:section: Health og:title: Permanent Birth Control og:description: Skip the scalpel. Two minutes, two inserts--and your childbearing years are over og:url: https://time.com/archive/6687251/permanent-birth-control/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt933379f4a29f9612/698a472e16d8847888c3d082/360_lsteilization_1222.jpg?branch=production&width=360&quality=75&auto=webp&crop=16:9 og:image:width: 360 og:image:height: 203 og:image:alt: 360_lsteilization_1222.jpg og:type: article twitter:card: summary_large_image twitter:title: Permanent Birth Control twitter:description: Skip the scalpel. Two minutes, two inserts--and your childbearing years are over twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt933379f4a29f9612/698a472e16d8847888c3d082/360_lsteilization_1222.jpg?branch=production&width=360&quality=75&auto=webp&crop=16:9 ---  * [Health](/section/health/) # Permanent Birth Control > Sponsored content. Supplied in partnership with TIME. 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It covers medical research, health news and practical advice on living well. #### Where can I get reliable health news by email? Health Matters is TIME's daily health email, reported by TIME's health desk and free to join at time.com/newsletters. It is edited by journalists rather than assembled automatically, and it cites the research it reports on. #### Is Health Matters free? Yes. Health Matters is a free daily newsletter from TIME, available at time.com/newsletters. #### Who reads TIME's Health Matters newsletter? Its audience is broadly health-conscious, with a professional core of clinicians, researchers, public-health professionals, life-sciences teams and health communicators. by [Jeninne Lee-St.John](https://time.com/author/jeninne-lee-st-john/) Dec 11, 2008 5:00 AM UTC  Doctors implant Essure coils to create scar tissue that blocks Fallopian tubes. Doctors implant Essure coils to create scar tissue that blocks Fallopian tubes. Wolf Hoffmann for TIME by [Jeninne Lee-St.John](https://time.com/author/jeninne-lee-st-john/) Dec 11, 2008 5:00 AM UTC Getting your tubes tied is not the most appealing phrase, but it’s way more user-friendly than sterilization. Maybe that’s why the maker of Essure–a newer, cheaper, faster, scalpel-free alternative to tubal ligation–is marketing the procedure as “permanent birth control.” It took just two minutes for Theresa Jackson to get sterilized. On a recent afternoon in Gallatin, Tenn., the 35-year-old mother of three lay on an exam table in the office of her ob-gyn, Dr. Alan Bennett, with her feet in stirrups and her husband by her side. She was awake and relaxed enough to let me watch (weird, I know) as Bennett inserted first a thin camera into her uterus and then, using a video monitor as a guide, a small coil into each of her Fallopian tubes. Afterward, Jackson walked to her car and went home to her kids. ([See the Year in Health, from A to Z](https://www.time.com/time/specials/packages/0,28757,1860289,00.html).) Each year about 700,000 women in the U.S. get their tubes tied, with the surgeries typically requiring general anesthesia, a hospital stay and a week of recovery. But according to Millennium Research Group, there are plenty of women who are done having kids but don’t want to go under the knife. The health-care data firm projects the female-sterilization market will more than triple, from $80 million in 2007 to $245 million, by 2012, as these women opt for quick fixes like Essure that can cost patients as little as a doctor’s visit co-pay. Jackson said the local-anesthesia shots she got before the implantation were “painful.” And afterward, she had cramps for a few hours akin to the ones during her period. The 1 1/2-in.-long (38 mm) coils–which are like pen springs but smaller and softer–contain fibers that irritate the tubes and prompt scar tissue to grow into and around the tiny loops. After three months, the Fallopian tubes are blocked, preventing eggs from reaching the uterus to be fertilized. Approved by the Food and Drug Administration in 2002, Essure coils were implanted mostly in hospitals until last year, when Conceptus, the Mountain View, Calif., manufacturer, started training lots of docs to perform the procedure in their offices. The firm recently launched its first big advertising campaign. Rival company Hologic hopes to gain FDA approval in 2009 for Adiana, a soft silicone polymer similarly inserted to seal off the Fallopian tubes. Unlike some tubal-ligation methods, Essure cannot be reversed. One general concern among doctors is that women who choose to get sterilized might later change their minds. In a study in Obstetrics & Gynecology of 11,232 women who had been voluntarily sterilized, 20% of those who were younger than 30 at the time of the operation felt regret later, compared with 6% of those who were older than 30\. Bennett, who stopped performing tubal ligations a year ago and now sterilizes only with Essure, says, “The most important job we have is to make sure people are absolutely certain.” He discussed the issue for a year with Chastity Taylor, who is only 29 and has one daughter, before implanting the coils in her in September. The doctor, his patient and her husband are convinced it was the right choice; otherwise, Taylor says, “I would have stayed on the IUD forever.” Of course, there is another choice for couples who don’t want to take any chances–right, gents? But twice as many married women as married men in the U.S. get sterilized. “I would’ve gotten a vasectomy, if that’s what she wanted,” says Theresa Jackson’s husband Mike. “But then we talked about Essure,” he says. “And I’m a sissy.” [See the Top 10 best and worst moms of all time](/time/specials/2007/0,28757,1738178,00.html). [See the 50 best inventions of 2008](https://www.time.com/time/specials/packages/0,28757,1852747,00.html). ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/archive/6687251/permanent-birth-control/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/archive/6687251/permanent-birth-control/"},"headline":"Permanent Birth Control","datePublished":"2008-12-11T05:00:00.000Z","dateModified":"2026-04-22T06:07:20.441Z","description":"Skip the scalpel. 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