Hysteroscopic sterilisation is a method of female sterilisation for women wanting permanent contraception. The procedure is performed in the out-patient clinic, usually without anaesthetic and involves the insertion of a small telescope (a hysteroscope) through the neck of the womb into the uterine cavity. Small devices are then placed into the entrance to the tubes; these devices block off the tubes over the next 3 months. Women are advised that they will need to use contraception for this time, when a scan or X-ray is performed to check the devices are in the correct place and the tubes are blocked.
Women are advised of the following before they undergo the procedure:
- The procedure is as at least as effective as laparoscopic sterilisation.
- The failure rate is 1:400.
- There is small (1:150) chance that the procedure cannot be performed successfully.
- Contraception needs to be used for the 3 months after the procedure until the check X-ray or ultrasound has been done.
- The procedure is completely irreversible.
- Certain treatments for abnormal uterine bleeding may not be feasible after this sterilisation procedure. However, effective alternatives are still available.
This procedure has been performed in Sheffield for 7 years and provides many advantages over the traditional laparoscopic or keyhole procedure. There is no need for a general anaesthetic and the risks and discomfort of a laparoscopy are avoided.
There are two techniques available, Essure and Adiana. Further information is available via the links below. For details of the cost of the procedure please contact us via the link.