Abstract
The need for an easy, safe, effective, and inexpensive long-term method of preventing pregnancy has been sought for decades and is especially needed in the developing world. The safety and efficacy of female tubal sterilization have made it one of the most commonly performed operations. Although male sterilization is faster, safer and cheaper, tubal sterilization of women allows them to control their reproduction personally. Although the ideal method of sterilization has not been found and although the repetitive promises of a safe and effective hysteroscopic approach have been met with disappointment, continuing research remains focused upon identifying a technique which will permit the moving of female sterilization from an expensive, complex operating room procedure utilizing general anesthesia to one performed under local anesthesia in an office setting. Future research will focus upon finding less complex methods which may be performed by paramedical personnel, methods which are reversible, methods which reduce or prevent the transmission of sexually transmitted diseases, and methods which may be employed at any time in a menstrual cycle and without regard to the patient’s pregnancy status.
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Camara S, de Castro Coelho F, Freitas C, et al. Essure present controversies and 5 years’ learned lessons: a retrospective study with short- and long-term follow-up. Gynecol Surg. 2017;14:20–5.
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Of the 19 women with unilateral or bilateral hydrosalpinges, 18 had successful placement of the AltaSeal device prior to undergoing in vitro fertilization. Tubal obstruction was proven by HSG 1 day and again 12 weeks after hysteroscopy. 8/18 women conceived (26% of IVF attempts) and 7 delivered.
Of the 18 women undergoing a total of 31 IVF cycles after AltaSeal insertion, 8 (45% of women and 26% of IVF cycle attempts) conceived and 7 delivered live births (39% women and 23% of IVF cycle attempts.
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March, C.M. (2020). Female Tubal Sterilization. In: Shoupe, D. (eds) The Handbook of Contraception. Current Clinical Practice. Humana, Cham. https://doi.org/10.1007/978-3-030-46391-5_11
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