Discordant relationship between Essure microinsert position and tubal occlusion

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Hysteroscopic sterilisation with Essure requires confirmation of tubal occlusion by hysterosalpingogram or microinsert position by transvaginal sonography 3 months after placement before women can rely on the method for pregnancy prevention. A 39-year-old woman underwent hysteroscopic sterilisation via Essure, with successful bilateral tubal occlusion documented on hysterosalpingogram. She had a subsequent unintended pregnancy and termination, and presented with persistent pelvic pain and other non-specific symptoms. She underwent a laparoscopic-assisted vaginal hysterectomy with bilateral salpingectomy, with complete resolution of her symptoms. Pathological evaluation demonstrated a perforated Essure microinsert and ipsilateral tubal occlusion, and a correctly placed Essure microinsert with ipsilateral tubal patency. Clinicians should be cautious about the assumption that correctly placed microinserts based on ultrasonography, hysterosalpingogram or laparoscopic evaluation assures occlusion success.

Original languageEnglish (US)
Article numberbcr2016216535
JournalBMJ Case Reports
StatePublished - 2016

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'Discordant relationship between Essure microinsert position and tubal occlusion'. Together they form a unique fingerprint.

Cite this