Female Sterilization

Female sterilization involves removing the function of the Fallopian tubes by excising, interrupting or plugging them. The Essure device is placed in the junction between the uterus and Fallopian tubes, in a procedure done in the office under local anesthesia. Over the next three months, tissue grows over the devices and then occludes the tubes. Three months after insertion, a special x-ray is performed in the hospital to make sure the tubes are fully blocked. One must use another form of birth control until then. The delay in effectiveness and need for two procedures leads me to not offer the Essure in my practice.

To interrupt the tubes (“tubal ligation”) or remove them (“salpingectomy”) requires a minor surgery procedure. This requires general anesthesia and a half-day in the hospital but is immediately effective. Overall, this is easier for the patient than an Essure.

All of these methods are extremely effective and have only rare failures. The risks of Essure are pain, infection after the first procedure, and failure of the device to occlude the tube, which would require a second approach.

Tubal ligation and salpingectomy have similar side effects, these being anesthesia reactions, bleeding during surgery and infection. In 34 years of practice I have never seen any of these. Salpingectomy is preferred to tubal ligation in women who have an increased risk for pelvic cancers, some of which arise from the Fallopian tubes.

Robert Howe, MD

281 Maple St.
East Longmeadow, MA 01028

Tel: (413) 525-5160
Fax: (413) 525-5170

Mon-Fri: 8:00am – 5:00pm
Saturday: 8:00am – 12:00pm

About Us

– Convenient Location
– Off-Street Parking
– Saturday Appointments
– Wheelchair Accesible
– On-Site Lab
– On-Site Ultrasound
– Medicare Accepted

Hyperion Selene-Touch
& Vaginal Phototherapy

We are pleased to announce that we now offer Hyperion Selene-Touch and Vaginal Phototherapy procedures. We are the only practice in Western Massachusetts to offer these services!

Since 1997 Dr Howe has affiliated with IVF New England, the premiere program for assisted reproduction and egg banking in our region. This assures you of extraordinary care and superior clinical results in your journey to parenthood. Read more…