Successful pregnancies after removal of intratubal microinserts.

BACKGROUND: Patients with intratubal microinsert sterilization later may request reversal. CASE: Each patient underwent mini-laparotomy and removal of intratubal microinserts. One patient underwent unilateral tubotubal anastomosis and unilateral tubouterine implantation through a cornual uterine incision. The other patient underwent bilateral tubouterine implantation through a posterior transfundal uterine incision. The first patient became pregnant 4 months after surgery, had an uncomplicated pregnancy, and underwent an elective cesarean delivery at term. The second patient became pregnant 8 months after surgery and had a pregnancy complicated by unexplained abdominal pain at 34 weeks of gestation that resulted in early cesarean delivery. CONCLUSION: Proximal tubal occlusion from intratubal microinserts can be corrected surgically and can provide patients an alternative to in vitro fertilization.