Is Previous Tubal Ligation a Risk Factor for Hysterectomy because of Abnormal Uterine Bleeding?

Moradan, Sanam; Gorbani, Raheb

doi:10.5001/omj.2012.81

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…10 In present study, 77 (38.5%) women had undergone tubal ligation as a method of sterilization who had the complaint of AUB. Similar results (44%) were found in a study conducted by Sanam et al 13 Letchworth et al said in his study that about 20% of women will experience heavier menses after TL. 14 This was probably because TL technique sometimes disturbed the ovarian blood supply leading to congestion which led to disturbance in ovarian function.…”

Section: Discussionsupporting

confidence: 87%

An analytical study of abnormal uterine bleeding in women of child bearing age group

Shah

Pandya

Prajapati

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: AUB (abnormal uterine bleeding) is defined as any variation from the normal menstrual cycle including alteration in its frequency, regularity of menses, duration of flow and amount of blood loss. In India, the reported prevalence of AUB is 17.9%. It can occur any time between menarche to menopause. A good clinician tries to recognize and identify the causative factors responsible for the disease, reverse the abnormality and induce or restore the cyclic predictable menses which should have normal volume and duration.Methods: 200 cases of AUB fitting the selection criteria were taken from OPD and gynecology ward between September 2020 to June 2021.Results: AUB was more common in the age group 41-45 years, that is, perimenopausal age group, more in multiparous women and women with previous surgeries on uterus and adnexa. Heavy menstrual bleeding was the most common complaint. Endometrial hyperplasia was the most common finding on ultrasound examination. Medical therapy was beneficial in some patients, rest had to undergo surgical intervention later.Conclusions: Transvaginal sonography is very accurate in assessing the endometrium as well as uterus and adnexa and diagnosing their abnormalities. Medical therapy is the first line of management in most cases. Dilatation and curettage should be used along with hysteroscopy for better results. LNG-IUS gives very good result in suitable cases. Hysterectomy is the final measure if everything else fails. Vaginal hysterectomy is preferred wherever possible.

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Section: Discussionsupporting

confidence: 87%

An analytical study of abnormal uterine bleeding in women of child bearing age group

Shah

Pandya

Prajapati

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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show abstract

“…In addition, sterilization appears to be related to an increased risk of hysterectomy. Biologically, tubal ligation has been associated with higher risk of menstrual disorders and gynaecological ailments in some research conducted in the United States, although evidence is mixed ( Hillis et al 1998 ; Olenick 1998 ; Ozerkan et al 2010 ; Moradan and Gorbani 2012 ; Nankali et al 2012 ). Widespread, normalized surgical sterilization in India may in fact be a precedent for the normalization of ‘permanent’ solutions to reproductive ailments, for both women and providers.…”

Section: Discussionmentioning

confidence: 99%

Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India

Desai

Campbell

Sinha

et al. 2016

Health Policy Plan.

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Hysterectomy is a leading reason for use of health insurance amongst low-income women in India, but there are limited population-level data available to inform policy. This paper reports on the findings of a mixed-methods study to estimate incidence and identify predictors of hysterectomy in a low-income setting in Gujarat, India. The estimated incidence of hysterectomy, 20.7/1000 woman- years (95% CI: 14.0, 30.8), was considerably higher than reported from other countries, at a relatively low mean age of 36 years. There was strong evidence that among women of reproductive age, those with lower income and at least two children underwent hysterectomy at higher rates. Nearly two-thirds of women undergoing hysterectomy utilized private hospitals, while the remainder used government or other non-profit facilities. Qualitative research suggested that weak sexual and reproductive health services, a widespread perception that the post-reproductive uterus is dispensable and lack of knowledge of side effects have resulted in the normalization of hysterectomy. Hysterectomy appears to be promoted as a first or second-line treatment for menstrual and gynaecological disorders that are actually amenable to less invasive procedures. Most women sought at least two medical opinions prior to hysterectomy, but both public and private providers lacked equipment, skills and motivation to offer alternatives. Profit and training benefits also appeared to play a role in some providers’ behaviour. Although women with insecure employment underwent the procedure knowing the financial and physical implications of undergoing a major surgery, the future health and work security afforded by hysterectomy appeared to them to outweigh risks. Findings suggest that sterilization may be associated with an increased risk of hysterectomy, potentially through biological or attitudinal links. Health policy interventions require improved access to sexual and reproductive health services and health education, along with surveillance and medical audits to promote high-quality choices for women through the life cycle.

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“…They had retrospectively analyzed medical records of 67 patients who had a hysterectomy for abnormal uterine bleeding. 17 They found that there was no significant difference in hysterectomy between those who were tubectomised (28.36%) and those who were not tubectomised (71.64%). But in our study 90.09% of the patients were tubectomised.…”

Section: Discussionmentioning

confidence: 99%

Hysterectomy for dysfunctional uterine bleeding in women with previous tubal sterilization

Ranganna

Shivlingiaha

2014

Int J Reprod Contracept Obstet Gynecol

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Is Previous Tubal Ligation a Risk Factor for Hysterectomy because of Abnormal Uterine Bleeding?

Abstract: The result of this study showed that previous tubal sterilization is not a risk factor for undergoing hysterectomy because of abnormal uterine bleeding.

Cited by 9 publications

References 14 publications

An analytical study of abnormal uterine bleeding in women of child bearing age group

An analytical study of abnormal uterine bleeding in women of child bearing age group

Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India

Hysterectomy for dysfunctional uterine bleeding in women with previous tubal sterilization

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