Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert

Kenan Omurtag, Samuel Pauli, Donna Session

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Objective: To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy. Design: Case report. Setting: University hospital. Patient(s): A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx. Intervention(s): Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert. Main Outcome Measure(s): Pregnancy. Result(s): Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency. Conclusion(s): Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.

Original languageEnglish
Pages (from-to)393.e15-393.e17
JournalFertility and Sterility
Issue number1
StatePublished - Jul 2009


  • Essure
  • Proximal tubal occlusion
  • hydrosalpinx
  • hysteroscopic microinsert
  • infertility
  • tubal factor


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