Hysteroscopic tubal sterilization (essure) in women with an intrauterine device

STUDY OBJECTIVE: To evaluate the feasibility and effectiveness of hysteroscopic tubal sterilization in women with an intrauterine device (IUD). DESIGN: Prospective observational study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: From January 2005 through January 2006, all women with an IUD who came for a hysteroscopic tubal sterilization consultation were selected to participate. INTERVENTIONS: Hysteroscopic tubal sterilization in women with IUD. MEASUREMENTS AND MAIN RESULTS: Feasibility of the procedure, localization of microinserts, and tubal occlusion evaluated by hysterography. Hysteroscopic tubal sterilization was performed in 6 patients. Hysterography showed correct placement of microinserts and bilateral tubal occlusion in all patients. CONCLUSION: Hysteroscopic tubal sterilization in women with an IUD appears to be a feasible and effective procedure.