Permanent Contraception

When your family is complete, talk to your Women’s Care physician.

There are many options open to you when you know your family is complete. It is important to understand these procedures are permanent and not reversible. You must be 100% sure of the decision to have permanent contraception.
Please refer to our contraception section if you possibly want more children.

Learn more about sterilization.

Options for permanent contraception include:

Laparoscopic Bilateral Tubal Ligation:

The traditional laparoscopic tubal ligation is an effective form of permanent contraception. The procedure is performed under general anesthesia at a hospital or outpatient surgery center. The recovery usually takes 1-2 weeks. The failure rate it 3-5/1000/year, with an increased risk of pregnancy in your tube IF pregnancy occurs.

peranentcontraception-sidebarEssure : Hysteroscopic Tubal Occlusion:

Essure provides safe effective permanent contraception with minimal recovery. The Essure can be done in the comfort of the office, surgery center or hospital. Recovery is minimal – you are usually able to go back to work the day after surgery and usually do not need pain medication after the procedure.

During this procedure, a camera is placed through your natural passages (cervix and into the uterus), also called a hysteroscopy. The openings of your fallopian tubes are identified. A soft insert is placed into the openings of your tubes. Over 3 months, your tubes grow over and through the insert, providing a permanent natural barrier to contraception.

EssureImage2It is important to remember to use another form of contraception during this 3 month time as the tube grows into the insert. This process is painless and doesn’t affect your periods. At the end of the 3 month period, we will help you schedule a dye-Xray test, known as a hysterosalpingogram to confirm that the fallopian tubes are completely occluded.

The Essure procedure can provide permanent contraception that is:

  • Safe
  • Effective
  • With minimal recovery
  • Has fewer risks than laparoscopy

Hundreds of thousands of Essure procedures have been performed worldwide. It is proven to be safe and effective.

Call to schedule an appointment to discuss permanent contraception with a Women’s Care provider if this is a concern to you.

Click here for more information on Essure.


Vasectomy is a procedure performed on a man to provide permanent sterilization. It can be performed in his primary care doctor’s office (if they offer that service). It is also available at Oregon Urology Institute.

This procedure separates the connecting tube (the vas deferens) that links the sperm to the outside world. It is associated with minimal recovery. It is incredibly important to confirm there are no sperm remaining after the procedure via the recommendations of the doctor performing the procedure before relying on the procedure for birth control.