Proximal occlusion of hydrosalpinges by Essure(®) before assisted reproduction techniques: a French survey

Guillaume Legendre, Julie Moulin, Jean Vialard, J Vialard, Dominique D E Ziegler, Dominique de Ziegler, Rénato Fanchin, Renato Fanchin, Jean Luc Pouly, Antoine Watrelot, Joëlle Belaisch Allart, Nathalie Massin, H. Fernandez, Hervé Fernandez
European journal of obstetrics, gynecology, and reproductive biology · 2014 · vol. 181 , pp. 300–304 · doi:10.1016/j.ejogrb.2014.07.020 · PMID:25201610 · W2070252274
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This French survey describes the use of Essure® for proximal occlusion of hydrosalpinges prior to assisted reproduction techniques.

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Abstract

OBJECTIVES: To study the feasibility and results (live-birth and complication rates) of placement of Essure(®) microinserts before assisted reproductive technology (ART) treatment of women with hydrosalpinx when laparoscopy should be avoided. Study design National survey of 45 French hospital centres providing ART reporting a retrospective analysis of 43 women with unilateral or bilateral hydrosalpinges and Essure(®) placement. The results of the following ART cycle were studied for 54 embryo transfers. RESULTS: The placement success rate reached 92.8% (65/70 tubes), and the mean number of visible intrauterine coils was 1.61 (range: 0-6). Pyosalpinx occurred in one case, and expulsion of the device into the uterus in two others. Of 43 women, 29 (67.4%) had a total of 54 fresh or frozen embryos transferred. The clinical pregnancy rate was 40.7% (22/54) and the live-birth rate 25.9% (14/54). The implantation rate was 29.3% (27/92). CONCLUSION: Essure(®) placement is an effective method for occlusion of hydrosalpinges before IVF. Monitoring the live-birth rate confirms that this option is the strongest in cases when laparoscopy is impossible or contraindicated.

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MeSH descriptors

Fallopian Tube Diseases Pregnancy Rate Sterilization, Tubal Adult Contraindications Embryo Transfer Fallopian Tube Diseases Female Fertilization in Vitro France Humans Laparoscopy Pregnancy Pregnancy Outcome Prostheses and Implants Prostheses and Implants Prosthesis Failure Retrospective Studies Sterilization, Tubal

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