Feasibility of Essure Placement in Intrauterine Device Users

We present a review of 28 cases of intrauterine device (IUD) users who asked for permanent contraception with Essure procedure and accepted concomitant use of IUD and Essure. We ultimately achieved correct bilateral placement in 26 women (92.8%). In 8 cases (28.6%), it was necessary to remove the IUD to try and place the device. Our results suggest hysteroscopic tubal sterilization with Essure microinserts in IUD users is feasible, safe, and reliable. Moreover, there is no need to instruct the patients to use another form of birth control until 3 months postprocedure. We think this application could be a good alternative approach for a high percentage of IUD users who request a permanent hysteroscopic sterilization.