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Effectiveness: Nearly 100%

A permanent form of female birth control where the fallopian tubes are closed or blocked by tying and cutting the tubes (tubal ligation). sealing the tubes with an electrical current, closing the tubes with clips/clamps/or rings (small piece of tube may be removed), or inserting a small device in the tubes. Tissue grows around these devices and blocks the tubes (called Essure)


Availability: Through health care provider 

Cause of Failures: Rarely - During surgery a passage is left large enough for sperm and egg to travel through, ectopic (tubal) pregnancy can occur, tubes may grow back together, or Clamps or rings used may come loose.

STI Prevention: None

Note: Takes about 3 months for Essure to become effective.

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