Semin Reprod Med 2010; 28(2): 103-109
DOI: 10.1055/s-0030-1248134
© Thieme Medical Publishers

Transcervical Sterilization

Paula M. Castaño1 , Lola Adekunle1
  • 1Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York
Further Information

Publication History

Publication Date:
29 March 2010 (online)


Sterilization is frequently chosen as a method of permanent contraception. Traditional approaches involve surgery under anesthesia in an operating room and are associated with a recovery period and scars. Transcervical sterilization is an incision-free, minimally invasive approach to sterilization. When compared with laparoscopic surgery, transcervical hysteroscopic sterilization does not need to be performed in an operating room, requires less anesthesia, has a shorter recovery period, and is more cost effective. The Essure Permanent Birth Control System (Conceptus, Inc., Mountain View, CA) and Adiana Permanent Contraception System (Hologic, Inc., Bedford, MA) are two available hysteroscopic sterilization techniques. They cause fibrosis and tubal occlusion over a 3-month period so women must use an alternative form of contraception during the first 3 months. A 3-month hysterosalpingogram confirms successful placement and tubal occlusion. Transcervical sterilization is similarly effective to other sterilization methods and is satisfactory to women.


Paula M Castaño, M.D. , M.P.H. 

Assistant Clinical Professor, Department of Obstetrics and Gynecology, Columbia University Medical Center

622 W 168th St., PH 16-69, New York, NY 10032