Resolution of Chronic Pelvic Pain and Abnormal Uterine Bleeding After Essure® Surgical Removal and Laparoscopic Sterilization: A Case Report

Abstract

Hysteroscopic sterilization with Essure ® microinsert is a method of female permanent contraception. Complications of the procedure are malpositioning, unintended pregnancy, abnormal uterine bleeding, and chronic pelvic pain. We report the case of a 44-year-old patient presented to our hospital for chronic pelvic pain and abnormal uterine bleeding. She had 5 years before a hysteroscopic placement of an Essure ® device. At hysteroscopy, both devices were removed and a laparoscopic bilateral salpingectomy was performed. The patient reported resolution of chronic pelvic pain and of abnormal uterine bleeding following surgical procedures. Pelvic pain is the main symptom described after Essure ® insertion with an incidence of 4.2% regarding persistent pain. The patients should be informed about the risks and benefits of hysteroscopic and laparoscopic sterilization procedures.