title: Persistent pain after hysteroscopic sterilization with microinserts.
abstract: BACKGROUND
  Hysteroscopic sterilization using tubal microinsert devices is an increasingly common method of contraception. Postprocedure pain is typically minimal and brief, adding to the popularity of this method. This report describes a case of intractable pain after placement of microinserts, ultimately requiring removal of the inserts.
  
  
  METHODS
  A 31-year-old gravida 4 para 4 woman underwent an uncomplicated office hysteroscopic tubal occlusion for permanent birth control. Subsequent to the procedure, she had significant bilateral pelvic pain that failed all attempts at conservative management and required removal of the microinserts for pain relief.
  
  
  CONCLUSIONS
  Hysteroscopic placement of tubal microinserts for sterilization may occasionally be associated with intractable pelvic pain requiring removal of the devices.
authors.affiliation: Department of Maternal and Child Health, Berkshire Medical Center, Pittsfield, Massachusetts, USA. awbeckwith2003@yahoo.com
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Beckwith
mesh_terms: D000328:Adult; D003274:Contraceptive Devices, Female / Q000009:adverse effects*; D020878:Device Removal; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D010148:Intractable Pain / Q000209:etiology* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology* / Q000601:surgery; D013246:Sterilization, Tubal / Q000295:instrumentation*