A new hysteroscopic technique for reversible long-acting reproductive control (ReLARC®) as an alternative to laparoscopic sterilization and Essure®

A new hysteroscopic technique (ReLARC®) for the insertion of long-term contraceptive devices is described. The procedure is conducted under direct visualization; the method is simple, safe and rapid, and is suitable for application in the operating room or the office. The method is a reversible alternative to more complex insertion techniques for hysteroscopic intratubal contraception. It is the first hysteroscopically inserted system suitable for long-term intrauterine contraception. The copperbased contraceptive devices have a duration of action up to 10 years, or longer, and are immediately effective, contrary to existing hysteroscopic methods, and have a track record of high tolerance and acceptability. Some examples are briefly described to illustrate the new method and use of the device. Correspondence to: Dr. Dirk Wildemeersch, F. Rooseveltlaan 44, 9000 Ghent, Belgium; E-mail: [email protected]