Hysteroscopic Sterilization

What is sterilization?
Sterilization is a form of permanent contraception.
What is tubal sterilization?
Sterilization procedures for women are called tubal sterilization. Tubal sterilization includes the closure of a fallopian tube. Fallopian tube sterilization prevents the egg from traveling down the fallopian tube to the uterus and prevents sperm from meeting with the egg.
Can tubal sterilization help prevent sexually transmitted diseases?
Sterilization does not help protect against sexually transmitted diseases, including human immunodeficiency virus (HIV) (see article Preventing sexually transmitted infections)

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What is hysteroscopic sterilization?
Hysteroscopic sterilization is a type of tubal sterilization procedure that uses the body's natural holes to place small implants into the fallopian tubes. These implants will grow into blocks of tissue that block the duct. This method does not require any surgical incision
How effective is hysteroscopic sterilization for contraception?
Less than 1 in 1,000 women who have used the procedure will become pregnant within 5 years.




Hysteroscopic sterilization is conducted like?
Hysteroscopic sterilization involves placing a very small device into each fallopian tube through a hysteroscope. A colposcope is a device that is inserted through the vagina and cervix into the uterus. It allows viewing inside the uterus and into the openings of the fallopian tubes. Once this device is in place, scar tissue will form around them.
Does hysteroscopic sterilization have immediate effect?
Is not. It takes about 3 months after the procedure for the fallopian tubes to be completely blocked by scar tissue. While scar tissue is forming, pregnancy can still occur After 3 months, an X-ray test called a fallopian uterus (HSG) is done to make sure the fallopian tubes are blocked.



Another method of contraception should be used until the HSG results confirm that the fallopian tubes are blocked.
Where is hysteroscopic sterilization conducted?
This type of sterilization is usually done at the clinic with local anesthetics. A medicine to make you drowsy may also be used. This procedure may also be performed in the operating room with general anesthesia.
What are the benefits of hysteroscopic sterilization?
Hysteroscopic sterilization uses the body's natural openings and doesn't require a cut in the skin. It can be done with local anesthesia. For these reasons, recovery from hysteroscopic sterilization is usually faster than other types of sterilization.
What are the risks of hysteroscopic sterilization?
Hysteroscopic sterilization has the following risks:
The device may not be placed in one or two fallopian tubes.



Even if the device is placed in both tubes, there is a risk that one or two tubes will not be completely clogged. In such cases, unreliable procedures help prevent pregnancy.
There is a risk of damage to the uterus or fallopian tubes during the procedure. If this happens, the device may move out of position and into the abdominal cavity. Surgery is then required to remove the device.
Pregnancy usually does not occur after any type of sterilization. However, if this happens, there is a high risk of an ectopic pregnancy. An ectopic pregnancy can be a medical emergency.




In rare cases, a woman has pain that does not go away after hysteroscopic sterilization. If this happens, those devices need to be removed with hysteroscopy or laparoscopy.
What can I expect after hysteroscopic sterilization?
Most women can return to normal activities within 24 hours. Some people have discomfort during the procedure or last up to 1 week after. Side effects include:
Pain (similar to menstrual cramps)
Nausea and vomiting
Dizziness
Bleeding and rash
Interpretation of terms
Cervix: An opening into the uterus at the top of the vagina.
Ectopic pregnancy: A pregnancy in which a fertilized egg starts growing in a place that is not in the womb, usually in one of the two fallopian tubes.
Fallopian tubes: Tubes in which an egg travels from the ovary to the uterus.
General anesthesia: The use of drugs to create a sleep-like state to prevent pain during surgery.




Human Immunodeficiency Virus (HIV): A virus that attacks certain cells of the immune system in humans and causes acquired immunodeficiency syndrome (AIDS).
Tubal uterine scan (HSG): A special radiological procedure in which a small amount of fluid is placed into the uterus and fallopian tubes to detect abnormal changes in size and shape or to the body determine if the fallopian tube is blocked.
Hysteroscope: A device used to look inside the uterus and perform procedures.
Hysteroscopic sterilization: A sterilization procedure in which the entrance of each fallopian tube is blocked by scar tissue created from small implants that are inserted into the duct..

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