Is there such an entity as post tubal ligation syndrome?
After looking at all of the articles both for and against the existence of post tubal ligation syndrome, I have changed my mind. There IS a higher incidence of menstrual dysfunction and noncyclic pain following tubal ligations than the same time progression in women without tubal ligations. Premenstrual syndrome does not appear to be part of this syndrome but luteal phase defects that alter cycle length may well be part of it. Premature menopause DOES NOT appear to be part of the post tubal ligation syndrome but it may be an occasional complication of a sterilization procedure. The menstrual abnormalities are delayed and may be as much as 5% more in women undergoing tubals. Does the type of tubal ligation performed make a difference? There is evidence and suggestion, although not absolutely confirmatory, that methods of tubal ligation such as cautery which may impair the uteroovarian blood supply, are more likely to cause such abnormalities. Unipolar cautery techniques which were often
