Improving hysterosalpingogram confirmatory test follow-up after Essure hysteroscopic sterilization

Maryam Guiahi*, Kara N. Goldman, Margaret M. McElhinney, Christopher G. Olson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Background: Given the need for a 90-day post-Essure hysterosalpingogram (HSG) to confirm proper tubal placement and occlusion, we examined the impact of dedicating a staff nurse to schedule HSG appointments, call with appointment reminders and track HSG compliance for patients who had Essure. Study Design: We performed a retrospective chart review for patients who underwent Essure sterilization between October 2003 and January 2009. We compared rates of HSG compliance and confirmed tubal occlusion for patients before February 2008 with rates after the protocol change occurred. Results: Seventy-eight percent of preintervention patients were compliant with at least one HSG following Essure placement compared to 90.9% in the post-intervention group (p value=.033). Tubal occlusion was confirmed by postprocedure HSGs for 123/173 patients (71.1%) in the preintervention group and 48/55 patients (87.3%) in the postintervention group. Patients followed by our staff after our protocol change were more likely to undergo post-Essure compliance (Odds ratio= 2.7, confidence interval = 1.2-7.1, p=.01). Conclusion: Dedicating a staff nurse to track patients' HSG follow-up as a multicheck system resulted in an improvement in HSG compliance and rates of confirmed tubal placement and occlusion.

Original languageEnglish (US)
Pages (from-to)520-524
Number of pages5
Issue number6
StatePublished - Jun 2010


  • Essure hysteroscopic sterilization
  • Hysterosalpingogram
  • Tubal occlusion

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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