Symptomatic Bilateral Granulomas after Essure Sterilization

Abstract

A 43-year-old woman visited our outpatient clinic with a complaint of abdominal pain, most pronounced at the left lower quadrant and radiating to the left hip, existing continuously for 2 years. Uncomplicated hysteroscopic bilateral Essure microinsert (Bayer AG, Leverkusen, Germany) placement for permanent contraception had been performed 9 years prior. She was an otherwise healthy para 2, with her medical history only noting a fractured arm and 2 miscarriages. She requested the removal of both microinserts.