title: Hysteroscopic sterilization of patient with intrauterine device Mirena®.
abstract: Tubal sterilization is the definitive procedure most often used worldwide to control fecundity. Laparoscopic ligature is safe, but invasive and with possible surgical and anesthetic risks. The hysteroscopic approach enables tubal occlusion at outpatient's setting without the need of incisions or anesthesia. A microdevice (Essure®) is inserted directly into the tubes and its polyethelene fibers cause obstruction of tubes in about three months. During this period, it is recommended that patients continue the use of a temporary birth control method. Several women use the levonorgestrel-releasing intrauterine system, which is called in the market as Mirena®. This report evaluated the possibility of inserting Essure® without remove the intrauterine device; patient tolerance to the procedure was also assessed. The tubal device was successfully placed in the patient without the need to remove Mirena®. After three months the intrauterine device was removed with no intercurrent events.
authors.affiliation: Hospital do Servidor Público Estadual Francisco Morato de Oliveira, São Paulo, SP, Brasil.
authors.forename: Daniella De Batista
authors.initials: Dde B
authors.lastname: Depes
authors.forename: Ana Maria Gomes
authors.initials: AM
authors.lastname: Pereira
authors.forename: Salete
authors.initials: S
authors.lastname: Yatabe
authors.forename: Reginaldo Guedes Coelho
authors.initials: RG
authors.lastname: Lopes
mesh_terms: D000328:Adult; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D020878:Device Removal; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007434:Intrauterine Devices; D016912:Levonorgestrel / Q000627:therapeutic use*; D011091:Polyesters / Q000627:therapeutic use; D015203:Reproducibility of Results; D013246:Sterilization, Tubal / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome
chemical_list: D003271:Contraceptive Agents, Female; D011091:Polyesters; D016912:Levonorgestrel