Pregnancy outcome after transcervical hysteroscopic sterilization.

BACKGROUND

Hysteroscopic, transcervical sterilization involves placement of microinserts in tubal ostia. As with any contraceptive method, pregnancy can occur. This case reports the outcome when pregnancy occurred after microinsert placement.

CASE: A multiparous woman presented at 16 weeks of gestation. Hysteroscopic sterilization was performed 2 years earlier, although a postprocedure hysterosalpingogram was not done to verify tubal occlusion. The patient had a normal-term pregnancy. Postpregnancy hysterosalpingogram revealed both microinserts were embedded in the uterine fundus and myometrium.

CONCLUSION

This case demonstrates how pregnancy can occur after hysteroscopic microinsert placement and details how it might be avoided.