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The Effect of Tubal Ligation Surgery during Cesarean Operation on Dysmenorrhoea, Dyspareunia and Menstrual Cycle - 07/01/21

Doi : 10.1016/j.jogoh.2020.102054 
Aysun Tekeli Taşkömür a, , Özlem Erten b,
a Amasya University Sabuncuoğlu Şerefeddin Education and Research Hospital, Gynocology and Obstetrics Clinic, Amasya, Turkey 
b Kütahya University of Health Sciences Faculty of Medicine, Department of Gynocology and Obstetrics, Kütahya, Turkey 

Corresponding author at: Kirazlıdere Neighborhood Turgut Özal Street, Amasya, Turkey.Kirazlıdere Neighborhood Turgut Özal StreetAmasyaTurkey⁎⁎Corresponding author at: bahcelievler Neighborhood hekim sinan boulevard, Altınpark residences f blok no:5 Kütahya/Center, Turkey.bahcelievler Neighborhood hekim sinan boulevardAltınpark residences f blok no:5 Kütahya/CenterTurkey
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Abstract

Background and objectives

The use of tubal ligation as a contraceptive method has started to increase because it is a safe procedure with high protection. This increase also brings to mind what the procedure-related adverse effects may be. The aim of this study was to investigate the long-term effects whether tubal ligation performed during caesarean had an effect on dysmenorrhea, dyspareunia, menstrual pattern, and hormones.

Methods

Our study was retrospectively conducted by archive scanning and phone calls of a total of 220 patients who were divided into two groups as the study group, which underwent tubal ligation during the caesarean section (n = 110), and the control group (n = 110), which had caesarean section but did not undergo tubal ligation. Patients who did not meet the inclusion criteria were not included in the study.

The patients were invited to the hospital on the second or third days of their menstrual cycles. Serum TSH, FSH, LH, E2, PRL levels of these patients were studied. Their dysmenorrhoea, dyspareunia symptoms and menstrual cycle patterns were questioned. The results of the groups were compared.

Results

There was no significant difference between the hormone levels and dysmenorrhoea-dyspareunia evaluations of both groups (p > 0.05). However, it was found that menstrual cycle irregularity was higher in the group that underwent tubal ligation and this difference was statistically significant (p < 0.05).

Conclusion

In women who underwent tubal ligation during caesarean section, it was found that there was no difference in menstrual cycle pattern, hormone levels, dysmenorrhea, and dyspareunia, except for menstrual cycle irregularity.

Le texte complet de cet article est disponible en PDF.

Keywords : aesarean section, menstrual cycle, tubal ligation


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