Study to Assess Outcomes in Women Undergoing Either Hysteroscopic Sterilization (Essure®) or Laparoscopic Tubal Sterilization

Inclusion Criteria: * Subjects who are at least 21 years of age; * Subjects of all weights will be included; * Subjects who are scheduled to undergo an Essure insert placement procedure for permanent birth control or laparoscopic tubal sterilization. Decision for either treatment based upon clinical practice and physician/patient counseling. * For the Essure group only: • Subjects selecting hysteroscopic sterilization who are not contraindicated for the Essure procedure according to the most current approved version of the Essure IFU; * For the laparoscopic tubal sterilization group only: * Subjects selecting laparoscopic sterilization who are not contraindicated for laparoscopic tubal sterilization according to common clinical practice standard of care. Exclusion Criteria: * Subjects who are post-menopausal; * Subjects suspected of being or confirmed pregnant; * Subjects post-partum or undergone pregnancy termination ≤6 weeks prior to scheduled procedure; * Subjects uncertain about ending fertility; * Subjects with an active upper or lower genital tract infection; * Subjects with gynecologic malignancy (suspected or known); * Subjects who have had an attempted prior sterilization procedure (either laparoscopic or hysteroscopic); * Subjects scheduled to undergo concomitant intrauterine or laparoscopic procedures at the time of insert placement (intrauterine device removal is not considered a concomitant procedure) or laparoscopic sterilization; * Subjects with unexpl…