Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-26T18:21:50.907Z Has data issue: false hasContentIssue false

The effects on menstruation of elective tubal sterilization: a prospective controlled study

A report from the UK Field Research Centre of a WHO collaborative project*

Published online by Cambridge University Press:  31 July 2008

K. D. Bledin
Affiliation:
Department of Psychiatry, University of Nottingham
J. E. Cooper
Affiliation:
Department of Psychiatry, University of Nottingham
B. Brice
Affiliation:
Department of Psychiatry, University of Nottingham
S. Mackenzie
Affiliation:
Department of Psychiatry, University of Nottingham

Summary

As part of a prospective controlled study of the psychosomatic effects of elective tubal sterilization, 138 women were questioned about their menstrual functioning before sterilization, and again 6 months and 12 months post-operatively, using standardized interviewing procedures. Adverse changes, including (subjectively assessed) increased menstrual loss, shorter menstrual cycles and greater use of pads or tampons were reported by sterilized subjects at both of the post-operative interviews. Control subjects reported several comparable effects, although adverse changes overall were reported more commonly by sterilized women than by control subjects. However, many of the reported changes appeared to be related to pre-operative contraceptive methods, although consistent increases in use of pads or tampons were found in women who had pre-operatively used neither the pill nor the IUD.

Type
Research Article
Copyright
Copyright © 1985, Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bledin, K.D., Beral, V. & Ashley, J.S.A. (1978) Recent trends in sterilization in women. Hlth Trends, 10, 84.Google Scholar
Bledin, K.D., Cooper, J.E., Mackenzie, S. & Brice, B. (1984) Psychological sequelae of female sterilization: short-term outcome in a prospective controlled study. Psychol. Med. 14, 379.Google Scholar
Chimbira, T.H., Anderson, A.B.M. & Turnbull, A.C. (1980) Relation between measured menstrual blood loss and patient's subjective assessment of loss, duration of bleeding, number of sanitary towels used, uterine weight and endometrial surface area. Br. J. Obstet. Gynaec. 87, 603.Google Scholar
Cooper, J.E., Bledin, K.D., Brice, B. & Mackenzie, S. (1984) Effects of female sterilization: one year follow-up in a prospective controlled study of psychological and psychiatric outcome. J. Psychosom. Res. in press.Google Scholar
Cooper, P.J. (1983) Risk of hysterectomy after sterilization. Lancet, 1, 59.Google Scholar
Cooper, P., Gath, D., Fieldsend, R. & Rose, N. (1981) Psychological and physical outcome after elective tubal sterilization. J. Psychosom. Res. 25, 357.Google Scholar
Cooper, P., Gath, D., Rose, N. & Fieldsend, R. (1982) Psychological sequelae to elective sterilization: a prospective study. Br. med. J. 1, 461.Google Scholar
DeStefano, F., Huezo, C.M., Peterson, H.B., Rubin, G.L., Layde, P.M. & Ory, H.W. (1983) Menstrual changes after tubal sterilization. Obstet. Gynec. 62, 673.Google ScholarPubMed
Gath, D. & Cooper, P.J. (1982) Psychiatric aspects of hysterectomy and female sterilization. In: Recent Advances in Clinical Psychiatry. Edited by Granville-Grossman, K.. Churchill Livingstone, London.Google Scholar
Gath, D., Cooper, P. & Day, A. (1982) Hysterectomy and psychiatric disorder: I. Levels of psychiatric morbidity before and after hysterectomy. Br. J. Psychiat. 140, 335.Google Scholar
Guillebaud, J.Bonnar, J., Morehead, J. & Matthews, A. (1976) Menstrual blood-loss with intrauterine devices. Lancet, 1, 387.Google Scholar
Kasonde, J.M. & Bonnar, J. (1976) Effect of sterilization on menstrual blood loss. Br. J. Obstet. Gynaec. 83, 572.Google Scholar
Kwak, H.M., Chi, I.C., Gardner, S.D. & Laufe, L.E. (1980) Menstrual pattern changes in laparoscopic sterilization patients whose last pregnancy was terminated by therapeutic abortion. A two-year follow-up study. J. Reprod. Med. 25, 67.Google Scholar
Lawson, S., Cole, R.A. & Templeton, A.A. (1979) The effect of laparoscopic sterilization by diathermy or silastic bands on post-operative pain, menstrual symptoms and sexuality. Br. J. Obstet. Gynaec. 86, 659.CrossRefGoogle ScholarPubMed
Lieberman, B.A., Belsey, E., Gordon, A.G., Wright, C.S.W., Letchworth, A.T., Noble, A.D. & Niven, P.A.R. (1978) Menstrual patterns after laparoscopic sterilization using a spring-loaded clip. Br. J. Obstet. Gynaec. 85, 376.Google Scholar
Muldoon, M.J. (1972) Gynaecological illness after sterilization. Br. med. J. 1, 84.Google Scholar
Neil, J.R., Noble, A.D., Hammond, G.T., Rushton, L. & Letchworth, A.T. (1975) Late complications of sterilization by laparoscopy and tubal ligation. Lancet, 2, 699.Google Scholar
Pachauri, S. & Jamshedji, A. (1982) Two-year follow-up of 3466 sterilizations in India. J. Reprod. Med. 27, 459.Google Scholar
Radwanska, E., Headley, S.K. & Dmowski, P. (1982) Evaluation of ovarian function after tubal sterilization. J. Reprod. Med. 27, 376.Google Scholar
Riedel, H.H., Ahrens, H. & Semm, K. (1981) Late complications of sterilization according to method. J. Reprod. Med. 26, 353.Google Scholar
Rioux, J.E. (1977) Late complications of female sterilization: a review of the literature and a proposal for further research. J. Reprod. Med. 19, 329.Google Scholar
Royal College of General Practitioners (1974) Oral Contraceptives and Health. Pitman Medical, Manchester.Google Scholar
Templeton, A.A. & Cole, S. (1982) Hysterectomy following sterilization. Br. J. Obstet. Gynaec. 89, 845.Google Scholar
Vessey, M., Huggins, G., Lawless, M., McPherson, K. & Yeates, D. (1983) Tubal sterilization: findings in a large prospective study. Br. J. Obstet. Gynaec. 90, 203.CrossRefGoogle Scholar
Wing, J.K., Cooper, J.E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press, Cambridge.Google Scholar
Wing, J.K., Nixon, J.M., Mann, S.A. & Leff, J.P. (1977) Reliability of the PSE (ninth edition) used in a population study. Psychol. Med. 7, 505.Google Scholar
World Health Organization (1984) Mental health and female sterilization. J. biosoc. Sci. 16, 1.Google Scholar