1. Under local anesthesia a 5-mm operative hysteroscope is inserted under direct vision through the cervical canal, and the uterine cavity is entered.
2. The uterine cavity is distended with normal saline.
3. A special catheter that is inserted through the vagina into the uterus and then into the fallopian tube.
4. The catheter is retracted after placing the metal implant.
This process takes approximately 3 months to form complete occlusion, which is then documented by a hysterosalpingogram, where a dye is injected into the fallopian tubes and X-Rays are taken to document the block.
The patient must be counseled to use alternate forms of contraception for 3 months until a hysterosalpingogram can be obtained to confirm bilateral Tubal occlusion. This procedure cannot be reversed.
Unlike other currently available Tubal sterilization procedures for women, placement of an implant device does not require an incision or general anesthesia. 4. Vaginal approaches
are rarely used because they are associated with a higher incidence of infection and are no longer recommended.