Pregnancy outcome after transcervical hysteroscopic sterilization

Area of Science:

• Reproductive medicine
• Gynecological surgery

Background:

• Hysteroscopic sterilization uses tubal microinserts for contraception.
• Pregnancy is a rare but possible outcome with any contraceptive method.

Observation:

• A woman became pregnant at 16 weeks gestation, two years after hysteroscopic sterilization.
• A post-procedure hysterosalpingogram was not performed to confirm tubal occlusion.

Findings:

• The microinserts were found embedded in the uterine fundus and myometrium.
• The patient experienced a normal-term pregnancy.

Implications:

• This case underscores the necessity of post-procedure imaging to confirm correct microinsert placement.
• Proper verification can prevent unintended pregnancies and ensure the efficacy of hysteroscopic sterilization.