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BMC Womens Health 2022 Jun 23;22(1):250. Epub 2022 Jun 23.

Department of General Gynaecology and Urogynaecology, Clinic for Gynaecology and Perinatology, University Medical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia.

Background: The objective of our study was to assess the rate and causes for Essure® micro-insert system removal and patients' long term satisfaction rate with the procedure.

Methods: All patients who underwent Essure® hysteroscopic sterilization at our tertiary centre between years 2007 and 2018 were included in this follow-up study. A questionnaire was sent to all patients per standard mail. Read More

Am J Perinatol 2022 Jun 21. Epub 2022 Jun 21.

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Center for Women's Reproductive Health, Birmingham, Alabama.

Objectives:  The aim of the study is to evaluate the use of a bipolar electrocautery device for complete salpingectomy at cesarean to improve procedure completion rates, operative time, and surgeon reported satisfaction as compared with standard bilateral tubal ligation (BTL) and suture-cut-tie salpingectomy.

Study Design:  This is a prospective cohort study of women undergoing planned, non-emergent cesarean with desired sterilization with complete salpingectomy utilizing a bipolar electrocautery device. Study patients were compared with historic controls from a randomized controlled trial (RCT) of complete salpingectomy via suture-cut-tie method versus BTL conducted at our institution (SCORE trial, NCT02374827). Read More

Syst Rev 2022 Jun 19;11(1):126. Epub 2022 Jun 19.

Department of Epidemiology, School of Health, Arak University of Medical Sciences, Golestan St., Arak, Iran.

Background: Based on previous studies, it has been hypothesized that tube sterilization may be associated with a lower risk of breast cancer. This study aims to investigate the relationship between tubal ligation and the risk of breast cancer through a systematic review and meta-analysis.

Methods: In this systematic review and meta-analysis, PubMed/Medline, Web of Science, Scopus, and Google Scholar were searched for relevant non randomized studies published up to November 2020. Read More

BMC Womens Health 2022 06 2;22(1):204. Epub 2022 Jun 2.

Obstetrics and Gynecology Department, The Royal Medical Services, Amman, Jordan.

Introduction: In the Muslim world, the use and acceptance of long-term and permanent contraceptives were limited. Our aim was to investigate those limiting factors so we can help making these methods widely available and acceptable to the society.

Methods And Data Analysis: There were 1365 women from Facebook groups in the period 08/10/2020-8/11/2020. Read More

CMAJ Open 2022 Apr-Jun;10(2):E466-E475. Epub 2022 May 31.

Division of Gynaecologic Oncology (Hanley, Kwon, Huntsman, Finlayson, McAlpine, Miller), Department of Gynaecology and Obstetrics, and Department of Pathology and Laboratory Medicine (Huntsman), University of British Columbia; Vancouver Coastal Health (Finlayson), Vancouver, BC; Canadian Partnership Against Cancer (Niu, Han, Fung, Bryant, Huntsman, Earle), Toronto, Ont.; Department of Community Health Sciences (Bryant) and Department of Oncology (Bryant), University of Calgary, Calgary, Alta.

Background: Opportunistic salpingectomy (OS) is the removal of fallopian tubes during hysterectomy for benign indications or instead of tubal ligation, for the purpose of preventing ovarian cancer. We determined rates of OS at the time of hysterectomy and tubal sterilization and examined how they changed over the study period.

Methods: Using data from the Canadian Institute for Health Information's Discharge Abstract Database and National Ambulatory Care Reporting System for all Canadian provinces and territories (except Quebec) between the fiscal years 2011 and 2016, we conducted a descriptive analysis of all patients aged 15 years or older who underwent hysterectomy or tubal sterilization. Read More

Fertil Steril 2022 06;117(6):1332-1333

Division of Reproductive Medicine & IVF, Department of Obstetrics & Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

J Forensic Leg Med 2022 Jul 10;89:102358. Epub 2022 May 10.

CUNY School of Medicine, 160 Convent Avenue, Harris Hall, Suite 113, New York, NY, 10031, USA. Electronic address:

Involuntary sterilization is a violation of human rights and grounds for asylum in the United States. Forensic medical evaluations can be useful in documenting this form of persecution and supporting asylees' claims for immigration relief. We conducted a retrospective case analysis of the personal and medical affidavits of 14 asylum-seeking women from four Latin America countries who all reported they had been involuntarily sterilized. Read More

Uisahak 2022 04;31(1):263-296

Research Fellow, Department of Humanities and Social Medicine, the Catholic University of Korea.

This article examines the technological competition between laparoscopic sterilization and mini-laparotomy from the 1960s to the 1980s in South Korea and analyzes the motives of obstetricians and gynecologists for participating in the Family Planning Program. Obstetricians and gynecologists were key actors in implementing the Program in the front line, but there is not enough research on why they became involved in the Program. Preceding studies describe the doctors as those who internalized historicism combined with population problems and devoted themselves to the cause of the state. Read More

Contraception 2022 May 8. Epub 2022 May 8.

Department of Obstetrics and Gynecology, Division of Family Planning, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.

Objective: Permanent contraception through tubal sterilization is the preferred contraceptive method for 25% of women in the United States. Laparoscopic permanent contraception has an anecdotally high cancellation rate. Cancellations affect operating room utilization and may reflect barriers to care. Read More

J Gynecol Obstet Hum Reprod 2022 Jun 27;51(6):102400. Epub 2022 Apr 27.

Department of Obstetrics and Gynecology, Ankara University School of Medicine, Dikimevi, Ankara, Turkey.

Objective: To assess the impact of laparoscopy before in vitro fertilization (IVF) treatment on live birth rates in patients with distal unilateral tubal obstruction (UTO).

Methods: Retrospective cohort study which was conducted in tertiary ART center in Ankara University Hospital between January 2008- January 2019. Inclusion criteria were distal UTO at HSG, patients who were 18-40 years age and baseline serum FSH levels between 3 and 15 IU/ml. Read More

Eur J Obstet Gynecol Reprod Biol 2022 Jun 16;273:20-25. Epub 2022 Apr 16.

Department of Gynecology, Hôpital Femme Mère Enfant, HFME, 59 boulevard Pinel, University Hospital of Lyon, 69500 Bron, France; University Claude Bernard of Lyon 1, EMR 3738 CICLY, 69000 Lyon, France. Electronic address:

Objective(s): The causal mechanistic relationships between Essure® and adverse effects are unclear, but corrosion in the in-vivo environment with release of metal ions may be suspected. Here we evaluated the concentrations of nickel (Ni), chromium (Cr) and tin (Sn) in the peritoneal fluid (PF) and in the fallopian tube (FT) during laparoscopic Essure® removal compared to a control group.

Study Design: Ni, Cr and Sn concentrations were determined in the PF and FT from two groups(group A: symptomatic patients with Essure®) vs group B (control group without Essure®) by Inductively Coupled Plasma Mass Spectrometry analysis. Read More

Fertil Steril 2022 06 12;117(6):1322-1331. Epub 2022 Apr 12.

University of California, Davis, Center for Healthcare Policy and Research, Sacramento, California.

Objective: To compare real-world effectiveness of hysteroscopic to laparoscopic sterilization.

Design: Retrospective cohort of Medicaid claims for hysteroscopic or laparoscopic sterilization procedures performed in California, 2008-2014. After excluding postpartum procedures, we applied log-linear (Poisson) event-history regression models for clustered person-period data, weighted for propensity to receive either sterilization procedures, and adjusted for sociodemographic and clinical variables to examine the poststerilization pregnancy rates. Read More

Minerva Obstet Gynecol 2022 Apr;74(2):123-129

Department of Gynecology, Hôpital Femme Mère Enfant - HFME, University of Lyon, Lyon, France.

Background: Since health-related quality of life (HRQL) could improve after removal of Essure (Bayer, Leverkusen, Germany) inserts in symptomatic patients, we aimed to assess whether such postoperative enhancement was linked to the anatomic placement of the device.

Methods: Correct and incorrect placed Essure (Bayer) were identified in the electronic database of the French cohort Ablimco (cohort of consenting patients with laparoscopic Essure [Bayer] removal). HRQL, pain and heavy menstrual bleeding were evaluated after Essure (Bayer) removal with validated quality of life questionnaires (Short Form12 Questionnaire, Visual Analogue Scale, French version of the McGill Pain Questionnaire and the pictorial blood assessment chart PBAC). Read More

Am J Case Rep 2022 Apr 7;23:e936182. Epub 2022 Apr 7.

Department of Reproductive Endocrinology & Infertility, University of Cincinnati, College of Medicine, West Chester, OH, USA.

BACKGROUND Interstitial ectopic pregnancy, a pregnancy occurring in the part of the fallopian tube that is within the body of the uterus, poses a significant risk to patients, with a mortality rate of up to 2.5%, which is 7 times higher than for tubal ectopic pregnancies. Hysteroscopic sterilization reversal carries a potential risk of interstitial ectopic pregnancy; therefore, it is important to counsel patients appropriate and review the alternative option for in vitro fertilization. Read More

Maturitas 2022 May 15;159:62-68. Epub 2022 Jan 15.

Department of Obstetrics and Gynecology and Catharina Cancer Institute, Catharina Hospital, Eindhoven, the Netherlands.

Background: Opportunistic salpingectomy comprises additional bilateral salpingectomy during abdominal surgery as a prophylactic method to reduce the risk of ovarian cancer. However, opportunistic salpingectomy may potentially damage (micro)blood circulation to the ovaries, resulting in earlier onset of menopause.

Primary Objective: To evaluate the long-term effects of opportunistic salpingectomy on the onset of menopause in women who underwent sterilization through salpingectomy compared with a control group who underwent sterilization by tubal ligation or no surgery at all. Read More

Obstet Gynecol Surv 2022 Mar;77(3):167-173

Associate Professor, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC.

Importance: Ovarian cancer is the second most common gynecologic malignancy, but the most deadly female reproductive cancer in the United States. Epithelial ovarian cancer makes up approximately 90% of all cases and is responsible for more than 90% of ovarian cancer deaths. Elective salpingectomy has been shown to reduce ovarian cancer risk when performed at the time of a benign hysterectomy. Read More

J Gen Intern Med 2022 Feb 23. Epub 2022 Feb 23.

Yale Department of Obstetrics, Gynecology and Reproductive Sciences, New Haven, CT, USA.

Background: Tubal ligation remains common in the USA, especially among low-income patients.

Objective: To compare the effectiveness and safety of intrauterine contraceptives (IUC) to laparoscopic tubal ligation for Medicaid clients.

Design: We partnered with patient and clinician stakeholders to conduct a retrospective cohort study using California Medicaid claims for patients who had an IUC placed or laparoscopic tubal ligation performed in 2008-2014, excluding procedures performed within 42 days of a birth. Read More

J Gynecol Surg 2021 Feb 10;37(1):89-91. Epub 2021 Feb 10.

Marchand Institute for Minimally Invasive Surgery, Mesa, Arizona, USA.

Despite the advantages of a decreased risk of epithelial-cell ovarian cancer and the extremely minimally invasive nature of the procedure, combined salpingectomy and endometrial ablation is a potentially underused procedure in the United States to treat abnormal uterine bleeding and desired sterilization. The lack of utilization of this combined procedure might be based on factors other than clinical considerations, including slow acceptance and adoption of Committee Opinions expressing the value of salpingectomy over sterilization. Committee Opinions and randomized clinical trials have demonstrated the benefit of salpingectomy for sterilization and epithelial-cancer risk reduction, and there could be an additional protection against postablation tubal sterilization syndrome. Read More

Ann Surg 2022 Jan 27. Epub 2022 Jan 27.

University of Southern California Columbia University College of Physicians and Surgeons University of Freiburg Faculty of Medicine Joseph L. Mailman School of Public Health, Columbia University.

Objective: To perform a cost-effectiveness analysis to examine the utility and effectiveness of opportunistic salpingectomy (OS) performed at the time of elective cholecystectomy (LAP-CHOL).

Summary Background Data: OS has been adopted as a strategy to reduce the risk of ovarian cancer in women undergoing hysterectomy and tubal sterilization, although the procedure is rarely performed as a risk reducing strategy during other abdominopelvic procedures.

Methods: A decision model was created to examine women 40, 50, and 60 years of age undergoing LAP-CHOL with or without OS. Read More

Gynecol Obstet Fertil Senol 2022 06 1;50(6):470-474. Epub 2022 Feb 1.

Service de gynécologie-obstétrique, centre hospitalier d'Antibes Juan-les-Pins, 107, avenue de Nice, 06600 Antibes cedex, France.

Objectives: The latest recommendations of 2006 on tubal sterilization reported an infectious risk of 1.5 to 2.5% for the vaginal approach. Read More

Obstet Gynecol 2022 03;139(3):433-439

Department of Obstetrics, Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, and the Department of Policy Analysis and Management, Cornell University, Ithaca, New York.

Objective: To estimate the risk of sterilization regret based on age at the time of sterilization in a contemporary group of women.

Methods: We conducted a retrospective analysis of cross-sectional data from the 2015-2017 and 2017-2019 National Survey of Family Growth, Female Respondent Files, to estimate the proportion of women who experience sterilization regret. Descriptive statistics were used to describe the population and the proportion with regret. Read More

J Minim Invasive Gynecol 2022 05 21;29(5):596-598. Epub 2022 Jan 21.

Department of Obstetrics and Gynecology, Columbia Memorial Hospital, Hudson, New York. Electronic address:

Contraception 2022 05 14;109:57-61. Epub 2022 Jan 14.

Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland OH, United States; Department of Bioethics - Case Western Reserve University, Biomedical Research Building, Cleveland, OH, United States.

Objective: The Medicaid consent policy has been identified as a major barrier to desired permanent contraception, particularly for low-income communities and communities of color. As each state may modify their state Medicaid sterilization consent form, variation in the form has been reported. This study aims to characterize state-level variation in Medicaid Title XIX consent form interpretation and application. Read More

Am J Obstet Gynecol 2022 06 29;226(6):773-780. Epub 2021 Dec 29.

Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY.

Permanent contraception remains one of the most popular methods of contraception worldwide. This article has reviewed recent literature related to demographic characteristics of users, prevalence of use and trends over time, surgical techniques, and barriers to obtain the procedure. We have emphasized the patient's perspective as a key element of choosing permanent contraception. Read More

Contraception 2022 05 29;109:52-56. Epub 2021 Dec 29.

Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Parkland Health and Hospital System, Dallas, Texas.

Objective: To describe rates of postpartum sterilization and indications for unfulfilled requests when Medicaid policy is not a limiting factor.

Study Design: We conducted a single-institution, retrospective review. Women who requested postpartum tubal ligation after vaginal delivery from August 2015 to March 2019 were studied. Read More

Ann Palliat Med 2022 Apr 17;11(4):1170-1178. Epub 2021 Dec 17.

Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Background: Postcesarean delivery pain leads to several adverse maternal outcomes. The primary objective of this study was to determine the incidence of moderate-to-severe pain after the use of spinal morphine for cesarean delivery. The secondary aim was to identify factors influencing moderate-to-severe pain. Read More

Pharmacoepidemiol Drug Saf 2022 04 21;31(4):442-451. Epub 2021 Dec 21.

Department of Population Health, New York University Langone Health, New York, New York, USA.

Objective: To develop an annotation model to apply natural language processing (NLP) to device adverse event reports and implement the model to evaluate the most frequently experienced events among women reporting a sterilization device removal.

Methods: We included adverse event reports from the Manufacturer and User Facility Device Experience database from January 2005 to June 2018 related to device removal following hysteroscopic sterilization. We used an iterative process to develop an annotation model that extracts six categories of desired information and applied the annotation model to train an NLP algorithm. Read More

Eur J Contracept Reprod Health Care 2022 Jun 15;27(3):189-198. Epub 2021 Dec 15.

Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA.

Objective: To assess the percentage of the demand for family planning to limit childbearing satisfied with female permanent contraception (FPC) in sub-Saharan Africa (SSA) and the disparities by sociodemographic characteristics (educational status, wealth, religion, and area of residence).

Study Design: This study was a secondary data analysis of Demographic and Health Surveys conducted in SSA. Countries with a standard DHS conducted between 2010 and 2019 were eligible for inclusion. Read More

Menopause 2021 12 6;29(2):225-230. Epub 2021 Dec 6.

Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA.

Objective: Oral contraceptives (OCs) and tubal ligation are commonly used methods of contraception that may impact ovarian function. Few studies have examined the association of these factors with antimüllerian hormone (AMH), a marker of ovarian aging.

Methods: We examined the association of OC use and tubal ligation with AMH in the Nurses' Health Study II prospective cohort among a subset of 1,420 premenopausal participants who provided a blood sample in 1996-1999. Read More

Eur J Contracept Reprod Health Care 2022 Jun 6;27(3):230-239. Epub 2021 Dec 6.

Department of Obstetrics and Gynaecology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Sahlgrenska University Hospital, Goteborg, Sweden.

Purpose: The objective of this systematic review is to evaluate current literature comparing salpingectomy for sterilisation with tubal ligation, regarding the effectiveness and safety, and assess the certainty of evidence.

Materials And Methods: PubMed, Cochrane, and Embase databases were searched. Randomised (RCT) and observational studies were included. Read More