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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.

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