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Case 63 - A 38-Year-Old Woman Who Desires Device Removal after Hysteroscopic Sterilization

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 38-year-old female, gravida 2, para 2, presents with pelvic pain for several years. Pain is localized to the bilateral lower abdomen and pelvis. She describes it as dull, achy, constant, and of mild intensity. Pain occurs most days and is unrelated to menses. She has been reading on the internet that hysteroscopic sterilization devices have been removed from the market and she is concerned that her implants may be causing her symptoms. She reports fatigue but no nausea, vomiting, diarrhea, constipation, irregular bleeding, vaginal discharge, or bladder symptoms. She has no past medical history. Her surgical history is significant for Essure hysteroscopic sterilization 5 years ago. She is not taking any medication and has no known allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 191 - 193
Publisher: Cambridge University Press
Print publication year: 2021

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References

Chronic pelvic pain: ACOG Practice Bulletin, Number 218. Obstet Gynecol 2020; 135: e98109.CrossRefGoogle Scholar
ACOG Practice Bulletin No. 208: Benefits and risks of sterilization. Obstet Gynecol 2019; 133: e194207.CrossRefGoogle Scholar
Bayer Pharmaceuticals. Essure – permanent birth control. Available at: http://www.Essure.com/. (Accessed August 15, 2020.)Google Scholar
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Jegaden, M, Pourcelot, A-G, Fernandez, H, Capmas, P. Surgical removal of essure® micro inserts by vaginal hysterectomy or laparoscopic salpingectomy with cornuectomy: case series and follow up survey about device-attributed symptoms resolution. J Gynecol Obstet Hum Reprod 2020; 49(8): 101781CrossRefGoogle ScholarPubMed
Francini, S, Dureas, M, Charavil, A, et al. Essure removal for device-attributed symptoms: quality of life evaluation before and after surgical removal. J Gynecol Obstet Hum Reprod 2021; 50(2): 101772.CrossRefGoogle ScholarPubMed
Clark, NV, Rademaker, D, Mushinski, AA, et al. Essure removal for treatment of device-attributed symptoms: an expanded case series and follow-up survey. J Minim Invasive Gynecol 2017; 24: 971–6.CrossRefGoogle ScholarPubMed
Gracia, M, Herráez, A, Coronado, P. Essure removal: comparison of two minimally invasive approaches. Fertil Steril 2020; 114: 187–8.CrossRefGoogle ScholarPubMed
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Charavil, A, Agostini, A, Rambeaud, C. Vaginal hysterectomy with salpingectomy for Essure insert removal. J Minim Invasive Gynecol 2019; 26: 695701.CrossRefGoogle ScholarPubMed

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