Hysteroscopic Occlusion Of The Fallopian Tubes For Sterilization

WHAT YOU SHOULD KNOW:

Hysteroscopic occlusion of the fallopian tubes is a procedure to block your fallopian tubes to prevent pregnancy.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • You may have an allergic response to the metal coil used for your procedure. After your procedure, you may have nausea, dizziness, or feel faint. You may have abnormal vaginal bleeding or spotting. You may also have cramping or pain in your abdomen and lower back. Your uterus or fallopian tubes may get a tear from your procedure. You may get blood clots. The coil may move out of place. The coil may move into another area of your body, such as your uterus.

  • It will take at least 3 months after your procedure for your tubes to be completely blocked. You may still get pregnant during that time. You will need to use a form of birth control until your caregiver says the blockage is complete. Even after 3 months, your tubes may not be blocked. You may need to have another procedure or surgery to prevent pregnancy permanently.

WHILE YOU ARE HERE:

Before your procedure:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Anesthesia is medicine to make you comfortable during the procedure. Caregivers will work with you to decide which anesthesia is best for you.

    • General anesthesia will keep you asleep and free from pain during procedure. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Local anesthesia is a shot of medicine put into your cervix. It is used to numb the area and dull the pain. You may still feel pressure or pushing during the procedure.

During your procedure:

  • You will be placed on a table with your knees bent and feet in stirrups. A hysteroscope will be inserted into your uterus through your vagina and cervix. A camera at the end of the scope will show the inside of your uterus on a monitor. Saline solution will be inserted through the scope. This solution makes your uterus larger and allows your caregiver to see your fallopian tubes better.

  • When the opening of your fallopian tube is seen, a thin wire will be put through the scope. A coil will be attached to the wire. The wire will be inserted into the opening of your fallopian tube. The coil will then be released into the tube. Once released, the coil will expand and attach to your tube wall. After the coil has been placed inside your fallopian tube, the wire and scope will be removed. The same procedure will then be done for your other fallopian tube.

After your procedure:

You will be taken to a room where you can rest. Do not get out of bed until your caregiver says it is okay. Caregivers will monitor you closely for any problems, such as bleeding or pain. Tell your caregiver if you feel any pain in your lower back, legs, hips, or thighs. When you are able to walk without help, drink fluids, and urinate, you may be able to go home.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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