Reversible Mechanical Contraception and Endometriosis Treatment Using Stimuli‐Responsive Hydrogels

Abstract: Female sterilization via fallopian tube ligation is a common procedure; However, after the operation, over 10% of women seek re‐fertilization, which is frequently unsuccessful. In addition, there is evidence that fallopian tubes contribute to the spread of endometriotic tissue as they serve as channels for proinflammatory media entering the abdominal cavity via retrograde menstruation. Here, stimuli‐degradable hydrogel implants are presented for the functional, biocompatible, and reversible occlusion of fallopian tubes. The hydrogel implants, designed with customized swelling properties, mechanically occlude fallopian tubes in a high‐performance manner with burst pressures reaching 255–558 mmHg, exceeding normal abdominal pressures (95 mmHg). Their damage‐free removal can be achieved within 30 min using near‐visible UV light or a glutathione solution, employing a method akin to standard fallopian tube perfusion diagnostics. Ultrasound‐guided implant placement is demonstrated using a clinical hysteroscope in a human‐scale uterus model and biocompatibility in a porcine in vivo model. Importantly, the prevention of live sperm as well as endometrial cell passage through blocked fallopian tubes is demonstrated. Overall, a multifunctional system is presented that constitutes a possible means of on‐demand, reversible contraception along with the first‐ever mechanical approach to abdominal endometriosis prevention and treatment.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Reversible Mechanical Contraception and Endometriosis Treatment Using Stimuli‐Responsive Hydrogels ; day:09 ; month:04 ; year:2024 ; extent:14
Advanced materials ; (09.04.2024) (gesamt 14)

Urheber
Anthis, Alexandre H.C.
Kilchenmann, Samuel
Murdeu, Manon
LeValley, Paige J.
Wolf, Morris
Meyer, Charlotte
Cipolato, Oscar
Tibbitt, Mark W.
Rosendorf, Jachym
Liska, Vaclav
Rduch, Thomas
Herrmann, Inge Katrin

DOI
10.1002/adma.202310301
URN
urn:nbn:de:101:1-2024041014471735859315
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:44 MESZ

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Beteiligte

  • Anthis, Alexandre H.C.
  • Kilchenmann, Samuel
  • Murdeu, Manon
  • LeValley, Paige J.
  • Wolf, Morris
  • Meyer, Charlotte
  • Cipolato, Oscar
  • Tibbitt, Mark W.
  • Rosendorf, Jachym
  • Liska, Vaclav
  • Rduch, Thomas
  • Herrmann, Inge Katrin

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