Tubal Sterilization Workup

  • Author: Robert K Zurawin, MD; Chief Editor: Michel E Rivlin, MD   more...
 
Updated: Aug 2, 2011
 

Laboratory Studies

  • Urine human chorionic gonadotropin
    • Urine human chorionic gonadotropin (hCG) findings become positive approximately 1 week after conception.
    • Perform the test on the day of surgery (preoperatively); it can detect hCG levels as low as 20 mIU/mL (International Reference Preparation).
    • Perform the test to rule out a luteal-phase pregnancy. Even if the test result is negative, the patient can possibly still be pregnant. For this reason, sterilization is best performed in the first few days of the menstrual cycle.
  • Papanicolaou test: A Papanicolaou test should be performed within 6 months of the procedure.
  • Urinalysis and hemogram - As per protocol of surgical unit
  • Gonorrhea and chlamydia screening: Sterilization using any technique is contraindicated in the presence of active pelvic infection.
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Imaging Studies

  • Ultrasonography is indicated when a pelvic mass is detected during the preoperative clinical examination or when a pelvic examination is inadequate (ie, morbid obesity).
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Contributor Information and Disclosures
Author

Robert K Zurawin, MD  Associate Professor, Director of Baylor College of Medicine Program for Minimally Invasive Gynecology, Director of Fellowship Program, Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Baylor College of Medicine

Robert K Zurawin, MD is a member of the following medical societies: American Association of Gynecologic Laparoscopists, American College of Obstetricians and Gynecologists, American Society for Reproductive Medicine, Association of Professors of Gynecology and Obstetrics, Central Association of Obstetricians and Gynecologists, Harris County Medical Society, North American Society for Pediatric and Adolescent Gynecology, and Texas Medical Association

Disclosure: Johnson and Johnson Honoraria Speaking and teaching; Conceptus Honoraria Speaking and teaching; ConMed Consulting fee Consulting

Coauthor(s)

Avi J Sklar, MD, FRCSC, FACOG, FACS  Co-Chief, Division of Gynecology, Department of Obstetrics and Gynecology, Santa Clara Valley Medical Center

Avi J Sklar, MD, FRCSC, FACOG, FACS is a member of the following medical societies: American College of Obstetricians and Gynecologists, American College of Surgeons, American Society for Colposcopy and Cervical Pathology, Phi Beta Kappa, and Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

Specialty Editor Board

Anthony Charles Sciscione, DO  Professor, Department of Obstetrics and Gynecology, Drexel University College of Medicine; Director, Maternal and Fetal Medicine, Christiana Care Health System; Director, Delaware Center for Maternal and Fetal Medicine

Anthony Charles Sciscione, DO is a member of the following medical societies: American College of Obstetricians and Gynecologists and American Medical Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Richard S Legro, MD  Professor, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Pennsylvania State University College of Medicine; Consulting Staff, Milton S Hershey Medical Center

Richard S Legro, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Society for Reproductive Medicine, Endocrine Society, Phi Beta Kappa, and Society of Reproductive Surgeons

Disclosure: Korea National Institute of Health and National Institute of Health (Bethesda, MD) Honoraria Speaking and teaching; Greater Toronto Area Reproductive Medicine Society (Toronto, ON, CA) Honoraria Speaking and teaching; American College of Obstetrics and Gynecologists (Washington, DC) Honoraria Speaking and teaching; National Institute of Child Health and Human Development Pediatric and Adolescent Gynecology Research Think Tank Panel (Bethesda, MD) Honoraria Speaking and teaching; University of Illinois (Chicago, IL) Honoraria Speaking and teaching; Georgetown University Hospital (Washington, DC) Honoraria Speaking and teaching; Heilongjiang University (Harbin, China) Speaking and teaching; New England Fertility Society (Nashua, NJ) Honoraria Speaking and teaching; William Beaumont Hospital Division of Reproductive Endocrinology and Infertility (Detroit, MI) Honoraria Speaking and teaching; Wayne State University School of Medicine (Detroit MI) Honoraria Speaking and teaching

Frederick B Gaupp, MD  Consulting Staff, Department of Family Practice, Hancock Medical Center

Frederick B Gaupp, MD is a member of the following medical societies: American Academy of Family Physicians

Disclosure: Nothing to disclose.

Chief Editor

Michel E Rivlin, MD  Professor, Coordinator of Quality Assurance/Quality Improvement, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine

Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, and Royal College of Surgeons of Edinburgh

Disclosure: Nothing to disclose.

References

  1. Uchida H. Uchida tubal sterilization. Am J Obstet Gynecol. Jan 15 1975;121(2):153-8. [Medline].

  2. Hulka JF, Fishburne JI, Mercer JP, Omran KF. Laparoscopic sterilization with a spring clip: a report of the first fifty cases. Am J Obstet Gynecol. Jul 1 1973;116(5):715-8. [Medline].

  3. Filshie GM, Casey D, Pogmore JR, Dutton AG, Symonds EM, Peake AB. The titanium/silicone rubber clip for female sterilization. Br J Obstet Gynaecol. Jun 1981;88(6):655-62. [Medline].

  4. US Food and Drug Administration. Laparoscopic Trocar Injuries:. A report from a U.S. Food and Drug Administration (FDA) Center for Devices and Radiological Health (CDRH) Systematic Technology Assessment of Medical Products (STAMP) Committee. 2003;. [Full Text].

  5. Lawrie TA, Nardin JM, Kulier R, Boulvain M. Techniques for the interruption of tubal patency for female sterilisation. Cochrane Database Syst Rev. Feb 16 2011;2:CD003034. [Medline].

  6. Gariepy AM, Creinin MD, Schwarz EB, Smith KJ. Reliability of laparoscopic compared with hysteroscopic sterilization at 1 year: a decision analysis. Obstet Gynecol. Aug 2011;118(2 Pt 1):273-9. [Medline].

  7. Hopkins MR, Creedon DJ, Wagie AE, Williams AR, Famuyide AO. Retrospective cost analysis comparing Essure hysteroscopic sterilization and laparoscopic bilateral tubal coagulation. J Minim Invasive Gynecol. Jan-Feb 2007;14(1):97-102. [Medline].

  8. Levie MD, Chudnoff SG. Office hysteroscopic sterilization compared with laparoscopic sterilization: a critical cost analysis. J Minim Invasive Gynecol. Jul-Aug 2005;12(4):318-22. [Medline].

  9. Levie MD, Chudnoff SG. Prospective analysis of office-based hysteroscopic sterilization. J Minim Invasive Gynecol. Mar-Apr 2006;13(2):98-101. [Medline].

  10. Bradley L. Long-Term Follow-Up of Hysteroscopic Sterilization with the Essure Microinsert. Supplement to The Journal of Minimally Invasive Gyenocology. Fertil Steril. 2008;15(6):S14-S15.

  11. Essuremd. ESS305 Information for Use (IFU). [Full Text].

  12. Kerin JF, Carignan CS, Cher D. The safety and effectiveness of a new hysteroscopic method for permanent birth control: results of the first Essure pbc clinical study. Aust N Z J Obstet Gynaecol. Nov 2001;41(4):364-70. [Medline].

  13. Kerin JF, Cooper JM, Price T, Herendael BJ, Cayuela-Font E, Cher D. Hysteroscopic sterilization using a micro-insert device: results of a multicentre Phase II study. Hum Reprod. Jun 2003;18(6):1223-30. [Medline].

  14. Kerin JF, Munday DN, Ritossa MG, Pesce A, Rosen D. Essure hysteroscopic sterilization: results based on utilizing a new coil catheter delivery system. J Am Assoc Gynecol Laparosc. Aug 2004;11(3):388-93. [Medline].

  15. Kerin JF, Levy BS. Ultrasound: an effective method for localization of the echogenic Essure sterilization micro-insert: correlation with radiologic evaluations. J Minim Invasive Gynecol. Jan-Feb 2005;12(1):50-4. [Medline].

  16. Ubeda A, Labastida R, Dexeus S. Essure: a new device for hysteroscopic tubal sterilization in an outpatient setting. Fertil Steril. Jul 2004;82(1):196-9. [Medline].

  17. Arjona JE, Miño M, Cordón J, Povedano B, Pelegrin B, Castelo-Branco C. Satisfaction and tolerance with office hysteroscopic tubal sterilization. Fertil Steril. Oct 2008;90(4):1182-6. [Medline].

  18. Vancaillie TG, Anderson TL, Johns DA. A 12-month prospective evaluation of transcervical sterilization using implantable polymer matrices. Obstet Gynecol. Dec 2008;112(6):1270-7. [Medline].

  19. Rodriguez MI, Edelman AB, Kapp N. Postpartum sterilization with the titanium clip: a systematic review. Obstet Gynecol. Jul 2011;118(1):143-7. [Medline].

  20. Syed R, Levy J, Childers ME. Pain associated with hysteroscopic sterilization. JSLS. Jan-Mar 2007;11(1):63-5. [Medline].

  21. Levie M, Chudnoff S, Kaiser B, Levy B, Snyder D. Multicenter Trial of Hysteroscopic Sterilization in the Office Setting Under Local Anesthesia: Patient Assessment of Procedural Pain and Satisfaction. Washington DC. AAGL. 2007.

  22. Schepens JJ, Mol BW, Wiegerinck MA, Houterman S, Koks CA. Pregnancy outcomes and prognostic factors from tubal sterilization reversal by sutureless laparoscopical re-anastomosis: a retrospective cohort study. Hum Reprod. Nov 28 2010;[Medline].

  23. American College of Obstetricians and Gynecologists. ACOG technical bulletin. Sterilization. Number 222--April 1996 (replaces no. 113, February 1988). American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet. Jun 1996;53(3):281-8. [Medline].

  24. Bartz D, Greenberg JA. Sterilization in the United States. Rev Obstet Gynecol. 2008;1(1):23-32. [Medline].

  25. Bishop E, Nelms WF. A simple method of tubal sterilization. NY State J Med. 1930;30:214-6.

  26. Borgatta L, et al. Randomized trial of local anesthetic application for relief of postoperative pain after tubal sterilization with Fallope rings. Am J Gynecol Health. 1991;5:11-14.

  27. Cooper JM, Carignan CS, Cher D, Kerin JF,. Microinsert nonincisional hysteroscopic sterilization. Obstet Gynecol. Jul 2003;102(1):59-67. [Medline].

  28. Cunanan RG Jr, Courey NG, Lippes J. Complications of laparoscopic tubal sterilization. Obstet Gynecol. Apr 1980;55(4):501-6. [Medline].

  29. Gentile GP, Kaufman SC, Helbig DW. Is there any evidence for a post-tubal sterilization syndrome?. Fertil Steril. Feb 1998;69(2):179-86. [Medline].

  30. Green A, Purdie D, Bain C, Siskind V, Russell P, Quinn M, et al. Tubal sterilisation, hysterectomy and decreased risk of ovarian cancer. Survey of Women's Health Study Group. Int J Cancer. Jun 11 1997;71(6):948-51. [Medline].

  31. Grimes DA, Wallach M. Female sterilization. In: Grimes DA, Wallach M, eds. Modern Contraception: Updates from the Contraception Report. Totowa, NJ: Emron; 1997:167-90.

  32. Hillis SD, Marchbanks PA, Tylor LR, Peterson HB. Poststerilization regret: findings from the United States Collaborative Review of Sterilization. Obstet Gynecol. Jun 1999;93(6):889-95. [Medline].

  33. Jamieson DJ, Hillis SD, Duerr A, Marchbanks PA, Costello C, Peterson HB. Complications of interval laparoscopic tubal sterilization: findings from the United States Collaborative Review of Sterilization. Obstet Gynecol. Dec 2000;96(6):997-1002. [Medline].

  34. Levgur M, Duvivier R. Pelvic inflammatory disease after tubal sterilization: a review. Obstet Gynecol Surv. Jan 2000;55(1):41-50. [Medline].

  35. Linn ES. Progress in contraception: new technology. Int J Fertil Womens Med. Jul-Aug 2003;48(4):182-91. [Medline].

  36. Lipscomb GH, Spellman JR, Ling FW. The effect of same-day pregnancy testing on the incidence of luteal phase pregnancy. Obstet Gynecol. Sep 1993;82(3):411-3. [Medline].

  37. Lipscomb GH, Stovall TG, Ramanathan JA, Ling FW. Comparison of silastic rings and electrocoagulation for laparoscopic tubal ligation under local anesthesia. Obstet Gynecol. Oct 1992;80(4):645-9. [Medline].

  38. McSwain H, Shaw C, Hall LD. Placement of the Essure permanent birth control device with fluoroscopic guidance: a novel method for tubal sterilization. J Vasc Interv Radiol. Jul 2005;16(7):1007-12. [Medline].

  39. Moore CL, Vasquez NF, Lin H, Kaplan LJ. Major vascular injury after laparoscopic tubal ligation. J Emerg Med. Jul 2005;29(1):67-71. [Medline].

  40. Paransky OI, Zurawin RK. Management of menstrual problems and contraception in adolescents with mental retardation: a medical, legal, and ethical review with new suggested guidelines. J Pediatr Adolesc Gynecol. Aug 2003;16(4):223-35. [Medline].

  41. Pati S, Cullins V. Female sterilization. Evidence. Obstet Gynecol Clin North Am. Dec 2000;27(4):859-99. [Medline].

  42. Peterson HB, Jeng G, Folger SG, Hillis SA, Marchbanks PA, Wilcox LS. The risk of menstrual abnormalities after tubal sterilization. U.S. Collaborative Review of Sterilization Working Group. N Engl J Med. Dec 7 2000;343(23):1681-7. [Medline].

  43. Peterson HB, Pollack AE, Warshaw JS. Tubal sterilization. In: Rock JA, Thompson JD, eds. Te Linde's Operative Gynecology. 74(1). 8th ed. Philadelphia, Pa: Lippincott-Raven; 1997:529-47.

  44. Peterson HB, Xia Z, Hughes JM, Wilcox LS, Tylor LR, Trussell J. The risk of ectopic pregnancy after tubal sterilization. U.S. Collaborative Review of Sterilization Working Group. N Engl J Med. Mar 13 1997;336(11):762-7. [Medline].

  45. Peterson HB, Xia Z, Hughes JM, Wilcox LS, Tylor LR, Trussell J. The risk of pregnancy after tubal sterilization: findings from the U.S. Collaborative Review of Sterilization. Am J Obstet Gynecol. Apr 1996;174(4):1161-8; discussion 1168-70. [Medline].

  46. Piccinino LJ, Mosher WD. Trends in contraceptive use in the United States: 1982-1995. Fam Plann Perspect. Jan-Feb 1998;30(1):4-10, 46. [Medline].

  47. Pollack A,. ACOG practice bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 46, September 2003. (Replaces technical bulletin number 222, April 1996). Obstet Gynecol. Sep 2003;102(3):647-58. [Medline].

  48. Ricci JV. Sterilization. In: One Hundred Years of Gynaecology, 1800-1900. Philadelphia, Pa: Blakiston Co; 1945:539-40.

  49. Rosen DM. Learning curve for hysteroscopic sterilisation: lessons from the first 80 cases. Aust N Z J Obstet Gynaecol. Feb 2004;44(1):62-4. [Medline].

  50. Rust OA, Magann EF. Prophylaxis for subacute bacterial endocarditis in obstetrics and gynecology. Primary Care Update Obstet Gynecol. 1994;1:183.

  51. Ryder RM, Vaughan MC. Laparoscopic tubal sterilization. Methods, effectiveness, and sequelae. Obstet Gynecol Clin North Am. Mar 1999;26(1):83-97. [Medline].

  52. Shavell VI, Abdallah ME, Shade GH Jr, Diamond MP, Berman JM. Trends in sterilization since the introduction of Essure hysteroscopic sterilization. J Minim Invasive Gynecol. Jan-Feb 2009;16(1):22-7. [Medline].

  53. Shellock FG. New metallic implant used for permanent contraception in women: evaluation of MR safety. AJR Am J Roentgenol. Jun 2002;178(6):1513-6. [Medline].

  54. Silver AL. Tubal ligation, hysterectomy, and risk of ovarian cancer. JAMA. Apr 27 1994;271(16):1235; author reply 1236-7. [Medline].

  55. Soderstrom RM. Sterilization failures and their causes. Am J Obstet Gynecol. Jun 15 1985;152(4):395-403. [Medline].

  56. Soderstrom RM, Levy BS, Engel T. Reducing bipolar sterilization failures. Obstet Gynecol. Jul 1989;74(1):60-3. [Medline].

  57. Trussell J, Guilbert E, Hedley A. Sterilization failure, sterilization reversal, and pregnancy after sterilization reversal in Quebec. Obstet Gynecol. Apr 2003;101(4):677-84. [Medline].

  58. Tulandi T. Tubal sterilization. N Engl J Med. Mar 13 1997;336(11):796-7. [Medline].

  59. Valle RF, Carignan CS, Wright TC,. Tissue response to the STOP microcoil transcervical permanent contraceptive device: results from a prehysterectomy study. Fertil Steril. Nov 2001;76(5):974-80. [Medline].

  60. Westhoff C, Davis A. Tubal sterilization: focus on the U.S. experience. Fertil Steril. May 2000;73(5):913-22. [Medline].

  61. Wilcox LS, Chu SY, Eaker ED, Zeger SL, Peterson HB. Risk factors for regret after tubal sterilization: 5 years of follow-up in a prospective study. Fertil Steril. May 1991;55(5):927-33. [Medline].

 
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