The Essure and Adiana Occlusions are similar and require the same procedure to reverse them. The Essure device has only been available in the last decade, but we are now starting to see a higher number of requests to have this type of tubal occlusion reversed. We have had successful pregnancies resulting from Essure and Adiana, and we can help you, too.
The Essure and Adiana devices are supposed to be permanent, not reversible, similar to traditional tubal ligation. Still, at the North Carolina Center for Reproductive Medicine (NCCRM), we have the expertise in advanced micro-surgery to perform this procedure.
The procedure to reverse an Essure or Adiana differs from a standard tubal reversal. What is required is a subcorneal implantation. The old way to do subcorneal implantation was very hard and left the patient requiring a cesarean section for future pregnancies. With the way we perform this procedure at our facility, this is no longer the case.
To perform this type of reversal, the Essure or Adiana device needs to be carefully removed first. The next step is to make a tiny, perfectly round hole in the wall of the uterus. Once the uterus is prepared, the tube is sewn deep into the lining of the womb. The tube is then sewn to the outside of the uterus to seal it off.
If you are experiencing negative side effects from your Essure and want to have it removed, not reversed, please read more here.
Please call our office and speak with one of our clinical staff to answer any questions.
Surgery Process:
Adiana Reversal Surgery is similar to a tubal ligation reversal procedure requiring skilled surgeons. In this situation, a new opening can be created through the uterine muscle, and the remaining tubal segment is inserted into the uterine cavity. This microsurgical procedure is called tubouterine implantation, uterotubal implantation, or simply tubal implantation. Tubal implantation is performed when tubal anastomosis is impossible due to the absence of a proximal tubal segment and interstitial tubal lumen.
Click here for discharge instructions after Adiana, Essure and Tubal reversal surgery.
Dr. Sameh Toma established NCCRM in the 1990s, creating one of North Carolina’s first private fertility centers. Joined by other fertility specialists trained at UNC, Dr. Toma and the team have offered services such as Tubal Reversal and IVF in a private setting designed to provide efficient, personalized care.
As NCCRM’s Medical Director, Dr. Toma performs the majority of surgeries. He has extensive fertility care experience, specializing in Tubal Reversal Surgery and In Vitro Fertilization. During his training at UNC, Dr. Toma learned microsurgical tubal reversal under Dr. Hulka, a pioneer in the field who developed the Hulka clip, a method of tubal ligation that minimizes damage to the fallopian tubes.
At NCCRM, we individualize treatments based on each patient’s needs. Patients with sufficient tubal length may benefit from tubal reversal, while IVF is often the preferred option for those with minimal tubal length or male factor infertility. For this reason, we typically recommend a semen analysis before proceeding with a tubal reversal to determine the best path forward.
Our approach focuses on high-quality care with innovative techniques. For example, NCCRM offers liposuction for patients with a higher BMI to improve abdominal access during tubal reversal surgery. This allows for a more precise anastomosis, increasing the likelihood of a successful pregnancy. As the only fertility clinic with in-house liposuction capabilities, NCCRM provides these advanced procedures at competitive rates.
We are proud to have pioneered the world’s first successful Essure and Adiana reversals. With years of experience and ongoing dedication to patient care, NCCRM continues to achieve excellent success rates for these and other fertility treatments.
To learn more or schedule a consultation:
Call (919) 233-1680 or
