The obligation (for the ACOG, OBGYN doctors, medical device manufactures) to disclose information rests on both ethical and legal foundations but ask any woman today what she was told of tubal ligation (female sterilization, Essure, clips or salpingectomy) in advance and you'll learn that adverse outcomes such as ovarian isolation (causing ovarian failure and hormonal imbalance) and bleeding disorders (pain, migrating clips, broken/migrating Essure) (all) leading to hysterectomy are NEVER disclosed. - Susan Bucher, BSN * Photo from, "What Doctors Don't Tell You About Tubal Ligation and Post Tubal Ligation Syndrome (PTLS)" © 2006 Quote updated 2016