Initial Asian experience in hysteroscopic sterilisation using the Essure permanent birth control device

Area of Science:

• Gynecology
• Minimally Invasive Surgery
• Reproductive Health

Background:

• Permanent birth control is a sought-after sterilization method.
• The Essure device offers a hysteroscopic, non-anesthetic option for permanent contraception.
• Initial data on Essure use in Asian populations is limited.

Purpose of the Study:

• To evaluate the initial experience with the Essure permanent birth control device in a predominantly Asian population.
• To assess the feasibility, safety, and non-placement rate of the Essure device in this demographic.
• To determine the impact of pre-medication on the device's placement and procedure time.

Main Methods:

• A retrospective study was conducted involving eighty women seeking permanent birth control.
• Women underwent hysteroscopic sterilization using the Essure device in a day surgery setting.
• Data on surgical details, post-procedure follow-up, and device placement rates were analyzed.

Main Results:

• No serious adverse events or complications were reported with the Essure device.
• No pregnancies have occurred in the study cohort to date.
• A significant reduction in the Essure device non-placement rate (from 20.0% to 4.0%) and mean operation time was observed with pre-medication.

Conclusions:

• The Essure permanent birth control device is safe and suitable for use in Asian women.
• Pre-medication with a spasmolytic agent and analgesia can significantly improve the Essure device non-placement rate.
• Essure presents a viable hysteroscopic sterilization option for Asian women seeking permanent contraception.