However, not all pelvic infections will cause distal tubal occlusion.
2.
Occlusion at this opening is referred to as proximal tubal occlusion.
3.
Adiana sterilization was approved by the FDA in 2009 . Adiana sterilization is a hysteroscopic tubal occlusion procedure, which is very similar to Essure sterilization.
4.
The major cause for distal tubal occlusion is pelvic inflammatory disease ( PID ), usually as a consequence of an ascending infection by chlamydia or gonorrhea.
5.
Hysteroscopy allows access to the utero-tubal junction for entry into the Fallopian tube; this is useful for tubal occlusion procedures for sterilization and for falloposcopy.
6.
If either fallopian tube is open after the Essure procedure, then the Essure procedure can be repeated or another type of tubal occlusion method can be performed.
7.
Further, using fluoroscopy or hysteroscopy proximal tubal occlusion can be overcome by unilateral or bilateral selective tubal cannulation, a procedure where a thin catheter is advanced through the proximal portion of the fallopian tube os to examine and possibly restore tubal patency or falloposcopy.
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