Exxcellence pearls: sterilization reversal with Essure Flashcards
What is the rate of contraceptive efficacy for Essure?
99.74% at five years
What percentage of women will fail to cannulate both Fallopian tubes with Essure at the initial procedure?
14% (1 in 7)
What techniques are offered to reverse sterilization for mid-tubal procedures?
Why is this less frequently recommended in modern practice?
Reanastomosis of the tubes
Poor conception rates, increased ectopic rates, high success of IVF
What can be said about IVF after Essure?
The device may interfere with successful IVF implantation and higher failure rates might be expected. If pregnancy is achieved, the rate of continuation of pregnancy is unknown. There are reports of pregnancy after hysteroscopic extraction of implants, but successful conception could not be assured.
