Successful Pregnancies After Removal of Intratubal Microinserts

Abstract

Patients with intratubal microinsert sterilization later may request reversal. Each patient underwent mini-laparotomy and removal of intratubal microinserts. One patient underwent unilateral tubotubal anastomosis and unilateral tubouterine implantation through a cornual uterine incision. The other patient underwent bilateral tubouterine implantation through a posterior transfundal uterine incision. The first patient became pregnant 4 months after surgery, had an uncomplicated pregnancy, and underwent an elective cesarean delivery at term. The second patient became pregnant 8 months after surgery and had a pregnancy complicated by unexplained abdominal pain at 34 weeks of gestation that resulted in early cesarean delivery. Proximal tubal occlusion from intratubal microinserts can be corrected surgically and can provide patients an alternative to in vitro fertilization.