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Post by librarylady on Jul 21, 2018 13:08:00 GMT
I think the US was the only place still selling the product and the sales here have dropped when women learned of the many problems with the device.
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Post by anneinwa on Jul 21, 2018 14:09:36 GMT
When I went in to get information about a tubal, this was given as an option and encouraged by both doctors (over a couple visits) as a good alternative. Just after a little research, I was not liking what I was reading about what some women were suffering with afterword. It may be an in office procedue vs being put under/surgery, but it was not worth the risk of the known side effects.
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Post by fredfreddy44 on Jul 21, 2018 16:30:15 GMT
Interesting. Guess I made the right choice. When the choice was put screws in my tubes or cut them, I choose option B. I didn't just want my tubes blocks, I wanted them completed disconnected.
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melissa
Pearl Clutcher
Posts: 3,912
Jun 25, 2014 20:45:00 GMT
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Post by melissa on Jul 21, 2018 16:41:45 GMT
The reason the device is being pulled from the market is financial.
The device was used a lot when it first came out, but most gyns that I know ended up using it just for a small slice of the population. For example, it's an excellent choice for a woman who is a poor surgical candidate for a tubal ligation (extensive scarring, very high BMI, etc) and has a contraindication for hormonal birth control.
Yes, like ANY method of birth control out there, there are women who had some sort of negative result. And there are also women who blame something else unrelated to it as well (same for just about everything there is and I'm not talking just contraception). The internet magnifies these reports. Truth is that Essure is no longer financially profitable for the company to produce.
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Post by dewryce on Jul 21, 2018 16:49:45 GMT
The reason the device is being pulled from the market is financial. The device was used a lot when it first came out, but most gyns that I know ended up using it just for a small slice of the population. For example, it's an excellent choice for a woman who is a poor surgical candidate for a tubal ligation (extensive scarring, very high BMI, etc) and has a contraindication for hormonal birth control. Yes, like ANY method of birth control out there, there are women who had some sort of negative result. And there are also women who blame something else unrelated to it as well (same for just about everything there is and I'm not talking just contraception). The internet magnifies these reports. Truth is that Essure is no longer financially profitable for the company to produce. Why does a high BMI make you a poor candidate for tubal ligation? Is it a greater surgical risk?
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Deleted
Posts: 0
May 18, 2024 10:21:34 GMT
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Post by Deleted on Jul 21, 2018 16:58:01 GMT
The reason the device is being pulled from the market is financial. The device was used a lot when it first came out, but most gyns that I know ended up using it just for a small slice of the population. For example, it's an excellent choice for a woman who is a poor surgical candidate for a tubal ligation (extensive scarring, very high BMI, etc) and has a contraindication for hormonal birth control. Yes, like ANY method of birth control out there, there are women who had some sort of negative result. And there are also women who blame something else unrelated to it as well (same for just about everything there is and I'm not talking just contraception). The internet magnifies these reports. Truth is that Essure is no longer financially profitable for the company to produce. Why does a high BMI make you a poor candidate for tubal ligation? Is it a greater surgical risk? High bmi is obesity. Obesity makes us high risk for almost everything. Surgery too.
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Post by librarylady on Jul 21, 2018 17:11:31 GMT
I noticed in this article that the wires were/are made of nickel.
It was not until I wore some nickel plated watches that I learned I was allergic to nickel--or at least had a reaction to a watch with a nickel plated back.
I could envision that several women had no idea they would react to the nickel until it was too late.
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Post by dewryce on Jul 21, 2018 17:15:26 GMT
Why does a high BMI make you a poor candidate for tubal ligation? Is it a greater surgical risk? High bmi is obesity. Obesity makes us high risk for almost everything. Surgery too. Yes, that's what I assumed. But is essure not placed during a surgical procedure as well? Im just wondering what makes one surgery less of a risk than the other. Perhaps duration or type of anesthesia required?
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caangel
Drama Llama
Posts: 5,461
Location: So Cal
Jun 26, 2014 16:42:12 GMT
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Post by caangel on Jul 21, 2018 17:33:03 GMT
I noticed in this article that the wires were/are made of nickel. It was not until I wore some nickel plated watches that I learned I was allergic to nickel--or at least had a reaction to a watch with a nickel plated back. I could envision that several women had no idea they would react to the nickel until it was too late. Are you able to wear costume jewelry? I'm allergic to nickel and if I wear it too long (half a day) I'm all itchy. My mom can't wear it at all. I'd be surprised if most women had their first reaction to nickel from an implant unless it was a new allergy. It is used in so many things that we wear from jewelry to clothing fasteners. DH has developed a strong allergy as an adult so I can totally see it happening that case.
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Post by librarylady on Jul 21, 2018 18:10:24 GMT
So far I am OK with costume jewelry, but most of what I wear is sterling silver or gold....or beads, so no problem.
Additionally, since I am retired 90% of my time is with not jewelry.
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melissa
Pearl Clutcher
Posts: 3,912
Jun 25, 2014 20:45:00 GMT
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Post by melissa on Jul 21, 2018 18:18:17 GMT
Essure is placed during a hysteroscopy. There are no incisions. It's just an instrument that is placed in into the uterus through the vagina and then the cervix. It can be done with significantly lighter anesthesia than a laparoscopy. A tubal ligation requires full general anesthesia. It also requires instruments that must traverse the entire abdominal wall and be long enough to manipulate. Some people with high BMIs (50+) will have so much abdominal wall tissue that the instruments will not be long enough, to say nothing of then of insufflating the abdomen with enough gas so you can actually see what needs to be done. Then, closing those small but now tunnel sized incisions is an additional difficulty with risk. They do make extra long bariatric instruments for certain types of cases. This is not one of them. People with very surgical risks should not have elective procedures and, in some cases, shouldn't be pregnant either (because of the maternal and fetal risks). Tough situation and this was a viable form of permanent sterilization for those situations. And yes, nickel allergy is a contraindication to the procedure. An allergy can develop at anytime, but I agree 100% with caangel that nickel is in so much. I've personally had issues with costume jewelry, the snap on jeans, etc.
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Post by dewryce on Jul 21, 2018 18:55:50 GMT
As always thank you for sharing your knowledge melissa!
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