Background: To control the burning issue of rising trend in global population, Family planning methods play a major role. Tubal sterilization which is a permanent method of family planning is one of the most popular contraceptive choices in the majority of developing countries. Tubal sterilization is the commonest method of family planning. Following the tubal sterilization procedure, there has been discussions' regarding the existence of the post-tubal-ligation syndrome for decades. Methods: In this prospective cohort study, 50 women with Pomeroy type of tubal ligation as the study group and 50 women with no previous tubal ligation as the control group were recruited with the objective of assessing menstrual abnormalities. Results: Menstrual abnormalities were not significantly different between the case and control groups (p = 0.8). The abnormal uterine bleeding frequency differences in two different age groups (30-39 and 40-45 years old) were also statistically insignificant (p = 0.91). Conclusion: Tubal sterilization does lead to menstrual irregularities.