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Preoperative OCs smooth the way for hysteroscopic sterilization with Essure.(Gynecologic Surgery)
CHICAGO -- A short course of oral contraceptives prior to hysteroscopic sterilization can make it easier to place the device, Dr. Sarit Aschkenazi-Steinberg reported in a poster at the annual meeting of the AAGL (formerly the American Association of Gynecologic Laparoscopists).
A thin endometrium is a key factor in the ability to visualize and access the tubal ostia easily and correctly place the Essure device into the fallopian tube lumen.
The manufacturer (Conceptus Inc., San Carlos, Calif.) recommends timing the procedure during the early follicular phase when the endometrium is thin. "The problem is that a lot of women don't have regular periods, so you're kind of stuck," Dr. Aschkenazi-Steinberg said in an interview.
She and coauthor Dr. Michael Nimaroff, both of North Shore Long Island Jewish Health System, Great Neck, N.Y., began using oral contraceptives prior to Essure sterilization to suppress endogenous estrogen production and thin the endometrial lining.
Data show it is as effective as timing the procedure during the early follicular phase, and helps provide for more scheduling ...
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