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Hysteroscopic Sterilization: The Newest Type Of Tubal Ligation

Hysteroscopic tubal occlusion is one of the newest types of tubal ligation procedures. These procedures are different from the other forms of tubal ligation because they are performed from from inside the uterus. These procedures can be performed in a doctor’s office with a hysteroscope (a small cameras inserted through the vagina and cervix).

There are two forms of hysteroscopic tubal occlusion: Essure and Adiana.  These procedures were first introduced into the US market around 2001. Since their introduction the Adiana device has been discontinued because of patent issues and is no longer being performed in the US.

The Essure procedure is intended to cause permanent tubal blockage.

We were the first doctors in the world to publish successful reports of full term pregnancies after surgical reversal of both Essure and Adiana tubal ligation procedures.1-2

Essure sterilization: How is it done?

Essure-causes-tubal-blockage-in-a-critical-area-of-the-tubeThe Essure can be performed in an operating room but is increasingly being done within the doctors office.

During an Essure sterilization procedure, a small camera is inserted through the vagina and cervix and into the cavity of the uterus. An Essure coil made of nickel and titanium metal is placed inside the narrow opening of each fallopian tube.

The Essure devices cause the fallopian tube to heal closed by the gradual formation of scar tissue inside the tube.

The scar tissue formation causes blockage of the fallopian tubes but only in the very beginning and narrowest part of the tube. The Essure coils are intended to permanently remain in the fallopian tubes after the scar tissue has formed.

 

Reversing Essure sterilization

Dr. Charles Monteith and Dr. Gary Berger, the expert tubal reversal surgeons at A Personal Choice, published the first reports of successful reversal and pregnancy after both Adiana and Essure reversal in the peer reviewed medical literature. 1,2

These newer tubal ligation procedures are safely reversed at our specialty center through a 90 minute, outpatient operation called microsurgical tubouterine implantation.

essure-sterilization-can-be-reversed

Chances of pregnancy after Essure reversal

Although the Essure is a newer type of tubal ligation this procedure can be successfully reversed at our center as an outpatient operation.

We were the first doctors to report successful pregnancies within the peer reviewed medical literature after surgical reversal of both the Essure and Adiana procedures and we continue to have patients travel to us for both Essure removal and Essure reversal.

The chances of pregnancy after reversal of Essure or Adiana sterilization is approximately 29%.

 

References

1. Normal pregnancy after outpatient tubouterine implantation in patient with Adiana sterilization. Monteith CW, Berger GS. Fertility Sterility 2011;Jul 96(1) 45-6.

2. Successful Pregnancies After Removal of Intratubal Microinserts. Monteith CW, Berger GS. Obstet Gyncecol 2012;119:470-472.

6 thoughts on “Hysteroscopic Sterilization: The Newest Type Of Tubal Ligation”

  1. Melissa sequeira says:

    I was forced to have a tubal about 24 when I was only 20.i would love to get them tubal reserve.

    1. Dr. Monteith says:

      Melissa
      We should be able to help you. We can reverse most tubal ligation procedures.

      You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

      Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  2. Tammy D Ward says:

    How much

    1. Dr. Monteith says:

      Tammy
      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. The chances of pregnancy after tubal reversal are about 60%. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

      We are also offering patients who schedule surgery in January and February 2017 to have their two, night luxury hotel stay included in the price of their reversal surgery. For more information: Free 2 night luxury hotel stay Jan/Feb 2017

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

  3. Ericka says:

    I think a chance for pregnancy at 29% is better than None! I bet a lot of women seeking to have a reversal, after the Essure procedure would agree!

    1. Stacy says:

      I had the essure reversal in 2012 and have been blessed with a baby boy and girl.

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