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End of the road for Essure?®
  1. David H Horwell1
  1. UK/Europe Advisory Editor, Journal of Family Planning and Reproductive Health Care, Retired Consultant Gynaecologist, Harpenden, UK
  1. Correspondence to Dr David H Horwell; dhhjournal{at}

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I am writing to draw readers’ attention to a letter dated 31 May 2017 addressed to UK healthcare professionals from Bayer plc, in which that company announced that it had decided to discontinue sales of Essure®, their hysteroscopic female sterilisation device, from 1 September 2017.

Essure uses metal and polyester fibre ‘microinserts’ that are passed into the proximal parts of the fallopian tubes to occlude them by fibrosis. It was approved for use in the USA in 2002 and in the UK by NICE, the National Institute for Health and Clinical Excellence, in 2009.1 The device was reviewed in this journal in …

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