Legendre G, Varoux M, Nazac A, Fernandez H
Service de gynécologie-obstétrique, hôpital de Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le-Kremlin-Bicêtre cedex, France.
Service de gynécologie-obstétrique, hôpital de Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le-Kremlin-Bicêtre cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2014 May;43(5):387-92. doi: 10.1016/j.jgyn.2013.10.010. Epub 2013 Nov 25.
The definitive contraception techniques are irreversible. Women opting for this type of contraception may therefore regret their decision later. Since 2002, the number of tubal sterilizations performed by the Essure(®) technique has steadily increased to more than 100,000 procedures to date. Due to the simplicity of the technique, the low operative risk and the absence of anesthesia, in most cases hysteroscopic sterilization is now the first tubal sterilization technique in France. The rate of regret after hysteroscopic tubal sterilization has never been evaluated. The purpose of this study is to evaluate the regret after hysteroscopic sterilization with Essure(®).
All patients who benefited hysteroscopic sterilization by Essure(®), in two teaching departments of obstetrics and gynecology of the same university, between June 2005 and December 2011 were included in this study. Patients with a medical indication for tubal sterilization or patients with an obturation of hydrosalpinx before in vitro fertilization were excluded. A specific questionnaire to assess patients regret was sent by post to all patients.
During the study period, 452 hysteroscopic sterilizations were performed. Three hundred and six patients (67%) completed and returned the questionnaire. The average age of patients at the procedure was 41.4 [39.1, 43.7]. Mean follow after sterilization was 43 months [40.1, 45.9]. Seventeen of 306 patients (5.5%) expressed a sense of regret after sterilization. Seven women out of 306 (2.3%) consulted to discuss the possibility of a new pregnancy. None of these patients has finally resorted either to adopt or to medically assisted procreation.
The regret after tubal sterilization by hysteroscopy is a rare event. All patients asking for a permanent contraception technique should be informed of the irreversible nature of the technique.
确定性避孕技术是不可逆的。因此，选择这种避孕方式的女性日后可能会后悔自己的决定。自2002年以来，采用依苏芮（Essure®）技术进行的输卵管绝育手术数量稳步增长，迄今为止已超过10万例。由于该技术操作简单、手术风险低且无需麻醉，在大多数情况下，宫腔镜绝育术现已成为法国首选的输卵管绝育技术。宫腔镜输卵管绝育术后的后悔率从未得到评估。本研究的目的是评估采用依苏芮（Essure®）进行宫腔镜绝育术后的后悔情况。
本研究纳入了2005年6月至2011年12月期间在同一所大学的两个妇产科教学科室接受依苏芮（Essure®）宫腔镜绝育术的所有患者。排除有输卵管绝育医学指征的患者或在体外受精前输卵管积水闭塞的患者。通过邮寄向所有患者发送一份评估患者后悔情况的特定问卷。
在研究期间，共进行了452例宫腔镜绝育术。306例患者（67%）完成并返回了问卷。手术时患者的平均年龄为41.4岁[范围39.1，43.7]。绝育术后的平均随访时间为43个月[范围40.1，45.9]。3
