A summary of reported pregnancies after hysteroscopic sterilization

Barbara Levy, Mark D. Levie, Meredith E. Childers

Research output: Contribution to journalArticlepeer-review

78 Scopus citations


The purpose of this article is to describe 64 unintended pregnancies reported by patients who had undergone hysteroscopic sterilization and to provide recommendations for avoiding post-procedure pregnancies. Sixty-four pregnancies out of an estimated 50 000 procedures were reported to the device manufacturer from 1997 through December 2005. Most occurred in patients without appropriate follow-up. Other causes included misread hysterosalpingograms, undetected preprocedure pregnancies, and failure to follow product-labeling guidelines. The risk of pregnancy with hysteroscopic sterilization may be reduced by educating patients about the necessity of follow-up, ensuring that patients use effective contraception before and after placement, following the instructions for use, and adhering to the hysterosalpingography protocol.

Original languageEnglish (US)
Pages (from-to)271-274
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Issue number3
StatePublished - May 1 2007


  • Essure
  • Hysteroscopic sterilization
  • Hysteroscopy
  • Permanent birth control
  • Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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