Women Opting for Permanent Birth Control

Q: How effective is it?

A: It works 99.8 percent of the time, according to company studies.

Q: What are the side effects?

A: The most common side effects, and the percentage of women experiencing them, are cramping (29.6 percent), pain (12.9 percent), nausea and vomiting (10.8 percent), dizziness and lightheadedness (8.8 percent) and bleeding and spotting (6.8 percent). Doctors say side effects almost always are short-term.

Q: Will insurance pay for it?

A: Most plans do. Co-pays may be as little as $35, though reimbursement varies for a second part of the procedure that involves an injection to see if the implant worked.

Q: Is it reversible?

A: No.

Q. Other issues?

A: Tell your doctor you have had the Essure implant if you are having a pelvic procedure or magnetic resonance imaging test (MRI). It can make an MRI of reproductive organs more difficult to read.