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Essure Lawsuits

In August 2020, Bayer announced it would pay $1.6 billion to end virtually all of the U.S. Essure lawsuits involving women who claimed the birth control device caused serious health complications. The Essure settlements will resolve about 90 percent of the nearly 39,000 claims. Bayer had stopped selling Essure in 2018 but did not recall the device.

Thousands of American women filed lawsuits against Bayer after they say Essure caused devastating side effects and ruined their lives. Lawsuits say Bayer failed to report serious side effects such as perforated organs and broken devices to the U.S. Food and Drug Administration and to the public.

For many women, Essure side effects started immediately after implantation. In lawsuits, some say their devices moved out of the fallopian tubes and cut into nearby organs. Others say their device broke into pieces and wreaked havoc on their bodies.

“Women are rightfully suing Bayer for the pain and suffering caused by the Essure device. Jobs and marriages have been lost and lives ruined due to injuries caused by this horrific device, which should have already been removed from the market in this country.”

Attorney Holly Ennis told Drugwatch

After women in the Essure Problems group met with the FDA and the agency placed sale restrictions and black box warnings on the device, Bayer announced it would stop selling it on Dec. 31, 2018 in the U.S. The company cited a decline in sales as the reason for the device’s discontinuation.

Nearly two years after Bayer stopped selling the device in the U.S., the company agreed to pay $1.6 billion to end all U.S. Essure claims. In its Aug. 20, 2020 announcement, the company said there is no admission of wrongdoing or liability by Bayer in the settlement agreements.

“These U.S. settlements have no impact on pending litigation in other countries, as Bayer’s decision to resolve these cases is based significantly upon factors that are specific to the U.S. legal system,” Bayer said.

Bayer's Defense Tactic

Throughout the litigation process, Bayer tried to weed out claims by using a legal defense called preemption.

A preeminent entity — the FDA — approved Essure at the federal level, giving Bayer protection from claims it failed to warn the public of risks, the company argued.

The issue of preemption made Essure cases more complicated, and some judges dismissed cases for preemption. But Alameda Superior Court Judge Winifred Smith in California allowed Essure lawsuits to proceed in spite of preemption.

Did You Know?
As of March 2018, Judge Winifred Y. Smith presided over more than 13,000 Essure lawsuits in California.

Other judges dismissed cases for failing to meet court requirements. For example, St. Louis, Missouri-based U.S. District Judge Stephen N. Limbaugh Jr. tossed 92 out of 95 plaintiffs from a federal Essure case in January 2018 for this reason.

Former FDA program manager Madris Tomes highlights the devices, including Essure, that are still on the market due to FDA preemption.

Complaints in Lawsuits

Injuries claimed by women in lawsuits range from severe pain to crippling autoimmune conditions. Since the FDA approved Essure in 2002 to January 2018, the agency had received 26,272 adverse event reports about the device, former FDA and CEO of device events analyst Madris Tomes told Drugwatch.

Even after multiple surgeries, many women still live with chronic pain and inflammation from metal fragments of Essure left in their bodies. These women are among the thousands who sued Bayer.

Bayer has tried to “shift blame to the gynecologist to absolve itself of liability” for Essure injuries mentioned in lawsuits.
Source: The Journal of Minimally Invasive Gynecology.

Women in the Pennsylvania lawsuits said Essure “migrates from the [fallopian] tubes, perforates organs, breaks into pieces, and/or corrodes wreaking havoc on the female body.” Manufacturing defects could cause the device to crack, injuring surrounding tissues and organs, according to one complaint. Plastic fibers and nickel in the device could also lead to autoimmune problems.

According to doctors, injuries have discouraged new patients from receiving the device.

“You put in [an internet search for] Essure, and the first thing that comes up is lawsuits,” Dr. James Greenberg, an OB/GYN at Brigham-Faulkner OB/GYN Associates in Boston, told Modern Healthcare. “That’s not something that makes you super excited to have that done to you.”

Allegations Against Bayer and Conceptus

Lawsuits claim that, instead of working as intended, the device “migrates from the [fallopian] tubes, perforates organs, breaks into pieces, and/or corrodes.” These defects led to severe and permanent injuries. The lawsuits are against Conceptus, the original manufacturer of the device, and Bayer, which bought the company in 2013.

Complaints allege several counts of negligence including failing to warn about the risk of side effects. These counts include negligent training, negligent risk management and express breach of warranty.

Negligent Training
Lawsuits say Bayer failed to properly train doctors on how to implant the device. It used “Essure Simulator Training” in lieu of actual hands-on training and did not verify doctors completed training before allowing them to implant devices. It also encouraged unqualified doctors to purchase two device kits per month and “sell” Essure to their patients.
Negligent Risk Management
Bayer failed to notify the FDA of adverse events and failed to consider these injury reports in continuing to market the device. They received federal citations for failing to disclose adverse events, including pregnancies, perforations and migrations. Specifically, Bayer failed to disclose 16,047 medical device complaints of suspected device malfunction.
Express Breach of Warranty
Bayer falsely made statements about Essure’s effectiveness and safety in its marketing materials and its website.

Women Describe Injuries

Lawsuits say Bayer “conspired to engage in…misconduct…for the purpose of enriching themselves and creating an injustice at the expense of plaintiffs” and their health. Some women lost marriages, family and even died after complications.

For many women, the Essure experience has been long and arduous. They incurred medical bills, scheduled multiple surgeries and suffered poor health for years before they filed lawsuits. The claims of Stephanie Baily, Tanya de la Paz and Heather Walsh are some of the first lawsuits filed and only three out of thousands.

Stephanie Bailey

Stephanie Bailey’s husband, Bradley, filed a lawsuit on her behalf in 2016. After Stephanie received Essure in November 2010 she suffered numbness in her extremities, long-lasting migraines, joint pain and severe pelvic pain. She had to have a hysterectomy to remove Essure and subsequently died.

Her husband is seeking damages for loss of love, comfort, care, companionship, affection as well as emergency care, funeral expenses and medical bills.

Tanya de la Paz

Tanya de la Paz filed her lawsuit against Bayer in September 2015. According to the lawsuit, in July 2012, de la Paz had her first Essure procedure. However, one of her fallopian tubes perforated during the procedure. She went to a hospital because of the bleeding. She returned in September 2012 for a second procedure. The doctor implanted the metal coils successfully, but she suffered constant daily pain. When she returned to her doctor three months later for a follow-up, the examination revealed that a coil in her right fallopian tube was broken.

Bayer advised her physician to surgically remove the right fallopian tube and the broken coil. The left coil remained implanted and continued to cause her constant daily pain and heavy bleeding. She also suffered weight gain, stomach issues and mental and emotional anguish. She scheduled surgery to remove the second metal coil in September 2015.

According to her lawsuit, “[Bayer] actively and fraudulently concealed adverse reports of migrations and perforations from the Plaintiff and from the FDA.”

Heather Walsh

Heather Walsh filed suit against Bayer in 2015. In 2008, she went to her doctor’s office to have the device implanted, according to her lawsuit. After two years and four hospitalizations for severe pain, fainting and fever, she underwent a CT scan. It revealed one of the Essure coils had lodged behind her colon. There were three micro-inserts and not two, as there should have been.

She had to undergo a hysterectomy and an additional surgery to remove the coil in her colon. Now, she is left with a legacy of pain and autoimmune disorders. She said Bayer failed to warn her or train physicians properly.

“Defendant’s conduct was malicious, intentional, and outrageous, and constitutes a willful and wanton disregard for the rights and safety of Plaintiff and others,” Walsh’s lawsuit alleges.

Essure placement
Essure Lawsuit Facts
  1. Injuries Hysterectomy, pain, bleeding, nickel sensitivity, unwanted pregnancy, weight gain, autoimmune disorders and perforation
  2. Settlements $1.6 billion
  3. Defendant Bayer

Please seek the advice of a medical professional before making health care decisions.

Michelle Llamas, Senior Content Writer
Written By Michelle Llamas Senior Writer

Michelle Llamas has been writing articles and producing podcasts about drugs, medical devices and the FDA for nearly a decade. She focuses on various medical conditions, health policy, COVID-19, LGBTQ health, mental health and women’s health issues. Michelle collaborates with experts, including board-certified doctors, patients and advocates, to provide trusted health information to the public. Some of her qualifications include:

  • Member of American Medical Writers Association (AMWA) and former Engage Committee and Membership Committee member
  • Centers for Disease Control and Prevention (CDC) Health Literacy certificates
  • Original works published or cited in The Lancet, British Journal of Clinical Pharmacology and the Journal for Palliative Medicine
Edited By
Emily Miller
Emily Miller Managing Editor
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17 Cited Research Articles writers follow rigorous sourcing guidelines and cite only trustworthy sources of information, including peer-reviewed journals, court records, academic organizations, highly regarded nonprofit organizations, government reports and interviews with qualified experts. Review our editorial policy to learn more about our process for producing accurate, current and balanced content.

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  4. Bayer. (2018, March 31). Interim Report First Quarter of 2018. Retrieved from
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  8. Whitman, E. (2017, February 22). Essure problems cost Bayer $413 million last year alone. Retrieved from
  9. Welch, A. (2017, September 20). Bayer Halts Sales of Essure Sterilization Implant Outside of U.S. Retrieved from
  10. Bayer. (2017). Interim Report Third Quarter 2017; Legal Risks. Retrieved from
  11. Grzincic, B. (2018, January 25). Essure clinical trials in Missouri not grounds for jurisdiction there - judge. Retrieved from
  12. Ward, P.R. (2018, April 23). Allegheny County lawsuit joins other complaints about Bayer's birth-control device. Retrieved from
  13. McLaughlin v. Bayer et al. (2018, September 18). In the United States District Court Eastern District of Pennsylvania. Order Dimissing Defendant’s Objections. Case No: 2:18-cv-00838-JD. Retrieved from
  14. Walsh V. Bayer. (2013) In the Court of Common Pleas, Philadelphia County. Civil Action Complaint 20-Other Personal Injury. Retrieved from
  15. Walsh v. Bayer Corp. et al. (2017). U.S. District Court for the Eastern District of Pennsylvania. Defendants' Motion to Dismiss Plaintiffs' Second Amended Complaints. Case No. 2:15cv384. Retrieved from
  16. De la Paz v. Bayer et al. (2015). In the United States District Court Northern District of California. Complaint for Damages and Demand for Jury Trial. Case3:15-cv-03995-LB. Retrieved from
  17. De la Paz v. Bayer et al. (2016). US District Court in the Northern District of California.
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