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Hysteroscopic sterilization

Authors
James Greenberg, MD
Amanda C Yunker, DO, MSCR
Section Editors
Jody Steinauer, MD, MAS
Howard T Sharp, MD
Deputy Editor
Sandy J Falk, MD, FACOG

INTRODUCTION

Female surgical sterilization is the second most commonly used method of contraception among women in the United States. Between 2006 and 2010, of those women who used some type of contraception, 27 percent chose female sterilization, 28 percent chose an oral form of contraception, and 16 percent reported using condoms [1].

For women who no longer desire fertility, sterilization is a safe and highly effective option. Hysteroscopic sterilization can be performed in an outpatient setting and is the least invasive approach to female sterilization.

Hysteroscopic sterilization will be reviewed here. An overview of general principles of female sterilization, as well as postpartum and laparoscopic sterilization and general issues related to hysteroscopy, are discussed separately. (See "Overview of female sterilization" and "Postpartum sterilization" and "Laparoscopic female sterilization" and "Overview of hysteroscopy".)

APPROACHES TO TRANSCERVICAL STERILIZATION

Numerous techniques and technologies have been applied to transcervical sterilization, with varying degrees of success. Some methods require visualization of the tubal ostia with hysteroscopy, while others do not. Methods that have been attempted include:

Corrosive agents – nitric acid, phenol [2], quinacrine [3], methyl cyanoacrylate [4]

                                              

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Literature review current through: Nov 2016. | This topic last updated: Tue Nov 08 00:00:00 GMT 2016.
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