Tubal risk markers for failure to place transcervical sterilization coils

Ophra Leyser-Whalen, Mahta Rouhani, Mahbubur Rahman, Abbey B. Berenson

Research output: Contribution to journalArticle

9 Scopus citations


Background: There is a growing body of literature on placement rates of the Essure® procedure, yet prior studies have not attempted to identify tubal-associated risk factors for placement failures. The current study examines risk markers associated with the inability to deploy the Essure® coils into the tubal lumen using the new ESS305 design. Study Design: We used electronic medical record data to assess risk markers associated with the inability to place the Essure coils in the tubal lumen using the new ESS305 design. A total of 310 attempted procedures between June 14, 2007, and April 29, 2011, were analyzed. Results: There were 18 tubal failures (5.8%) out of the 310 attempted procedures. A history of a prior sexually transmitted infection (STI) was associated with tubal failure (odds ratio 2.64, 95% confidence interval 1.01-6.90, p=.048). Conclusions: We speculate that the observed association between a prior STI and an inability to place the coil was due to a past history of pelvic inflammatory disease.

Original languageEnglish (US)
Pages (from-to)384-388
Number of pages5
Issue number4
StatePublished - Apr 1 2012



  • Placement rate
  • STI
  • Transcervical sterilization
  • Tubal factors

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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