Some women need a hysterectomy after sterilisation device Essure
http://www.bbc.com/news/health-41011890
Some women need a hysterectomy after sterilisation device Essure
By Jean Mackenzie and Jessica Furst
BBC Victoria Derbyshire programme
6 hours ago
From the section Health
A number of women are having to undergo hysterectomies to remove a sterilisation device used on the NHS, the Victoria Derbyshire show has found. The Essure implant is used to permanently sterilise women, but can cause side effects and complications.
One woman - who later had her uterus removed - said she was left suicidal due to the "unbearable" pain, and felt she was a burden to her family.
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The small coil implants, which are made of nickel and polyester (PET) fibres, are used as a sterilisation device to stop eggs reaching the womb. They are inserted into the fallopian tubes where they trigger inflammation, causing scar tissue to build up and eventually block the tubes, known as a hysteroscopic sterilisation. They can cause intense pain, and some women are thought to react badly to the nickel and plastic. Because of the way the coils attach to the fallopian tubes, the only way to take them out is to remove a woman's fallopian tubes and often her uterus. In other cases the device has been found to perforate a fallopian tube and fallen out, embedding itself elsewhere in the body.
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In 2015, a study published in the British Medical Journal (BMJ) suggested that women who had a hysteroscopic sterilisation were 10 times more likely to need follow-up surgery than those who had a traditional sterilisation - 2.4% of those surveyed, as opposed to 0.2% amongst those having a standard sterilisation.
In the US more than 15,000 women have reported problems to the US Food and Drug Administration (FDA), including pain, allergic reactions and "migration of device".
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