Sanford Women's offers Essure® - one of the latest innovations in permanent birth control for women certain that their family is complete. There's no surgical incision needed. Essure consists of two flexible micro-inserts placed in the fallopian tubes during an office visit with minimal anesthesia needed. The inserts cause scar tissue to form therefore blocking the fallopian tubes and preventing sperm from fertilizing the egg. It generally takes three months for the tubes to close, at which point, your physician will perform an exam to confirm complete closure. Essure is 99.80% effective, hormone-free and covered by most insurance plans.