Hysteroscopic sterilization of patient with intrauterine device Mirena

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 o...

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Veröffentlicht in:Einstein (São Paulo, Brazil) Brazil), 2013-01, Vol.11 (1), p.108-110
Hauptverfasser: Depes, Daniella De Batista, Pereira, Ana Maria Gomes, Yatabe, Salete, Lopes, Reginaldo Guedes Coelho
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container_end_page 110
container_issue 1
container_start_page 108
container_title Einstein (São Paulo, Brazil)
container_volume 11
creator Depes, Daniella De Batista
Pereira, Ana Maria Gomes
Yatabe, Salete
Lopes, Reginaldo Guedes Coelho
description 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.
doi_str_mv 10.1590/S1679-45082013000100019
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subjects Adult
Case Report
Contraceptive Agents, Female - therapeutic use
Device Removal
Female
Humans
Hysteroscopy - methods
Intrauterine Devices
Levonorgestrel - therapeutic use
Polyesters - therapeutic use
Reproducibility of Results
Sterilization, Tubal - instrumentation
Sterilization, Tubal - methods
Treatment Outcome
title Hysteroscopic sterilization of patient with intrauterine device Mirena
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