Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert.

OBJECTIVE

To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx.

INTERVENTION(S): Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert.

MAIN OUTCOME MEASURE(S): Pregnancy.

RESULT(S): Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency.

CONCLUSION(S): Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.