I'm 39 years old, have 2 kids and am positive I'm done having children. For several months I've had very irregular periods, as in every 2 weeks and sometimes 1 week. My doctor recommended that I have Essure and Novasure done at the same time. I've read up on both but not finding a lot of information about them being done together. He said it would be done in the hospital as an outpatient procedure with general anesthesia. What I'm reading online is that these are often done in the doctor's office without being put completely under. Is it because they would be done at the same time that would need general anesthesia and be done in the hospital? Has anyone here had both of these done? I'd appreciate any thoughts you all have before I make the decision!