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Essure is a gentle, hormone-free, permanent birth control procedure for women. There is no surgery involved. It is non-reversible, and 99.74% effective, making it the most effective form of permanent birth control available. The procedure only takes 10 minutes, during which patients rarely experience pain, and are typically able to go home within 45 minutes. 
If you do not want to have additional children, Essure is right for you - you will never have to worry about unplanned pregnancy again.
If you decide that Essure is right for you, you must first have a standard PAP and STD screening, after which there is a 30-day, New York State mandated, waiting period, so that you, with the help of your doctor, can make the most well-informed decision possible. You must be 21 years or older for this procedure but there are no restrictions or laws in NY State about the size of your family. When it is time to have the procedure, the doctor will place hormone-free micro-inserts into each of your fallopian tubes. Over a three-month period, your body will naturally fill in the tissue around the inserts, which will permanently block your tubes.
Essure is covered by most insurance plans and available at Choices Women's Medical Center.