Baqiyatallah University of Medical Sciences Hospital Practices and Research 2476-390X 4 2 2019 06 01 Transcervical Migration of an Essure® Coil 71 74 86009 10.15171/hpr.2019.13 EN Thomas A. Paterniti College of Medicine, Florida State University, Orlando, FL, USA 0000-0002-6214-331X Lee Weber College of Medicine, Florida State University, Orlando, FL, USA Gene Krishingner Women’s and Maternity Care Specialists, Winter Park, FL, USA Sarfraz Ahmad Department of Gynecologic Oncology, Florida Hospital Cancer Institute, Orlando, FL, USA Journal Article 2018 11 22 <strong>Introduction: </strong>Essure^® device malposition is a rare, but clinically significant complication, for which management is idiosyncratic. This case report describes an unusual example of Essure^® migration in order to clarify reasonable management options.<br /> <strong>Case Presentation: </strong>A 50-year old G₄P₂₀₂₂ underwent hysteroscopic sterilization using the Essure^® device. Insertion was complicated by fragmentation of both coils. Two years later, one of the coils was incidentally discovered protruding through the cervical os. The visible portion was clipped when attempts to remove the entire coil were unsuccessful.<br /> <strong>Conclusion: </strong>Difficult placement increases the risk of Essure^® malposition. In asymptomatic patients, conservative management with removal of only a portion of the device is a rational approach. https://www.jhpr.ir/article_86009_bff871e131877e00d28a79bb36f11ae5.pdf