I'd definitely use it as my only form of birth control. I was thinking about it because it was looking like I was going to be getting on my husband's insurance but that's not going to pan out after all. If it's a lot more expensive than Paragard I won't be able to pay for it outright. Perhaps we will look into vasectomy, but I'd prefer something for me and I liked the idea of Essure since it's not much different than the IUD process.