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.

Getting Ready

The week your procedure:

  • Write down the correct date, time, and location of your procedure.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • You may need to take birth control pills before your procedure.

  • Tell your caregiver the date of your last monthly period. Your procedure may need to be scheduled for the early part of your period.

  • Tell your caregiver if you have recently given birth, or had an abortion or miscarriage. Tell him if you are using an intrauterine device (IUD) as a form of birth control. Your IUD may need to be removed before your procedure.

  • You may need to have a pregnancy test before your procedure. Talk to your caregiver about this or other tests you may need. Write down the date, time, and location for each test.

The night before your procedure:

Ask caregivers about directions for eating and drinking.

The day of your procedure:

  • Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • 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.

Contact a caregiver if

  • You cannot make it to your procedure.

  • You did not have your monthly period and think you may be pregnant.

  • You know you are pregnant.

  • You get a cold or the flu.

  • You have questions or concerns about your procedure.

© 2013 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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