Peer Reviewed

1

Document Type

Article

Publication Date

30-9-2015

Keywords

Endometrial fluid, Essure, Fertilization in vitro, Hydrosalpinx, Laparoscopy

Comments

The original article is available at http://synapse.koreamed.org/DOIx.php?id=10.5653/cerm.2015.42.3.126

Abstract

Essure (Bayer) received approval from the U.S. Food and Drugs Administration as a permanent non-hormonal contraceptive implant in November 2002. While the use of Essure in the management of hydrosalpinx prior to in vitro fertilization (IVF) remains off-label, it has been used specifically for this purpose since at least 2007. Although most published reports on Essure placement before IVF have been reassuring, clinical experience remains limited, and no randomized studies have demonstrated the safety or efficacy of Essure in this context. In fact, no published guidelines deal with patient selection or counseling regarding the Essure procedure specifically in the context of IVF. Although Essure is an irreversible birth control option, some patients request the surgical removal of the implants for various reasons. While these patients could eventually undergo hysterectomy, at present no standardized technique exists for simple Essure removal with conservation of the uterus. This article emphasizes new aspects of the Essure procedure, as we describe the first known association between the placement of Essure implants and the subsequent development of fluid within the uterine cavity, which resolved after the surgical removal of both devices.

Disciplines

Medicine and Health Sciences | Obstetrics and Gynecology

Citation

Sills ES, Walsh DJ, Jones CA, Wood SH. Endometrial fluid associated with Essure implants placed before in vitro fertilization: Considerations for patient counseling and surgical management. Clinical and Experimental Reproductive Medicine. 2015;42(3):126-9.

PubMed ID

26473113

DOI Link

10.5653/cerm.2015.42.3.126

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License

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