Our Summary

This research paper discusses how Essure, a sterilization device inserted into the fallopian tubes, may cause a condition known as ASIA (autoimmune/inflammatory syndrome by adjuvants). ASIA is a group of symptoms like fatigue, cognitive impairment, and joint pain that can be triggered by foreign materials implanted in the body. The study looked at 33 patients who chose to have their Essure devices removed due to pelvic pain and other symptoms similar to ASIA. The researchers also reviewed other studies related to negative side effects of Essure and the outcomes after its removal. The paper concludes that there is enough evidence to suggest screening patients with the Essure device for ASIA symptoms and discussing the potential risks and benefits of its removal.

FAQs

  1. What is the Essure device and what role does it play in bilateral tubal ligation?
  2. What is ASIA syndrome and how is it possibly triggered by the Essure device?
  3. What are the potential risks and benefits of removing the Essure device as discussed in the research paper?

Doctor’s Tip

A doctor might advise a patient considering bilateral tubal ligation to thoroughly discuss the potential risks and benefits of the procedure, including the possibility of developing ASIA symptoms related to the sterilization device used. They may also recommend regular follow-ups to monitor for any unusual symptoms or complications. It’s important for patients to be informed and proactive about their health when making decisions about permanent sterilization options.

Suitable For

Patients who are typically recommended bilateral tubal ligation, either through traditional surgery or devices like Essure, include individuals who are seeking permanent contraception and do not wish to have any more children. This procedure is often recommended for women who have completed their families or who have medical conditions that make pregnancy risky. Additionally, bilateral tubal ligation may be recommended for patients with a family history of genetic disorders or certain medical conditions that they do not want to pass on to their children.

Timeline

Before bilateral tubal ligation:

  1. Patient discusses sterilization options with healthcare provider
  2. Patient decides on bilateral tubal ligation as method of sterilization
  3. Patient undergoes pre-operative evaluations and counseling
  4. Patient schedules and undergoes bilateral tubal ligation procedure

After bilateral tubal ligation:

  1. Patient may experience mild to moderate pain and discomfort post-operatively
  2. Patient is advised to rest and avoid strenuous activities for a few days
  3. Patient may experience changes in menstrual cycle and hormonal fluctuations
  4. Patient is advised to use an alternative form of contraception until sterilization is confirmed
  5. Patient follows up with healthcare provider for post-operative care and monitoring
  6. Patient experiences long-term benefits of permanent sterilization, such as peace of mind and no longer needing to worry about unintended pregnancies.

What to Ask Your Doctor

  1. What are the risks and benefits of bilateral tubal ligation compared to other forms of contraception?
  2. What is the success rate of bilateral tubal ligation in preventing pregnancy?
  3. Are there any potential long-term side effects or complications associated with bilateral tubal ligation?
  4. How is bilateral tubal ligation performed and what is the recovery process like?
  5. Are there any alternative options for permanent sterilization that I should consider?
  6. What is the likelihood of experiencing pelvic pain or other symptoms similar to ASIA after undergoing bilateral tubal ligation?
  7. How often do patients experience complications or negative side effects after bilateral tubal ligation?
  8. What should I do if I experience persistent pelvic pain or other symptoms after undergoing bilateral tubal ligation?
  9. Are there any steps I can take to reduce my risk of developing ASIA or other complications after bilateral tubal ligation?
  10. Are there any additional tests or screenings that should be done before or after bilateral tubal ligation to monitor for potential complications?

Reference

Authors: Chauhan U, Cassidy B, Cohen Tervaert JW. Journal: Autoimmun Rev. 2021 Dec;20(12):102979. doi: 10.1016/j.autrev.2021.102979. Epub 2021 Nov 6. PMID: 34752966