Psychological and physical outcome after elective tubal sterilization

Cooper, Peter; Gath, Dennis; Fieldsend, Robert; Rose, Nicholas

doi:10.1016/0022-3999(81)90048-9

Cited by 25 publications

(20 citation statements)

References 7 publications

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“…6 Nevertheless, attenders at such clinics may be unusual in several ways, and our results are consistent with those of an earlier postal survey ofwomen in the community. '7 The finding that operationally defined sexual dysfunction was not associated with a history of gynaecological surgery agrees with results from other prospective research.9 10 When a discriminant function analysis was done age emerged as the most important determinant of operationally defined dysfunction; neuroticism and poor quality of marriage also contributed but psychiatric case state did not. It is understandable that age should contribute to sexual dysfunction.…”

Section: Discussionsupporting

confidence: 75%

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Sexual dysfunction among middle aged women in the community

Osborn¹,

Hawton²,

Gath³

1988

BMJ

197

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In a community survey of women aged 35-59 sexual functioning was studied in the 436 women with partners. One third of these women had operationally defined sexual dysfunction: impaired sexual interest was identified in 17% of women (68/406), vaginal dryness in 17% (73/434), infrequency of orgasm in 16% (60/379), and dyspareunia in 8% (30/379). Sexual dysfunctions were statistically significantly associated with increasing age and also with psychiatric disorder, neuroticism, and marital disharmony. One in 10 women regarded themselves as having a sexual problem. These women were no older than women with sexual dysfunction who did not regard themselves as having a sexual problem. Nevertheless, they differed from the rest of the sample in having more psychiatric disorder, neuroticism, marital disharmony, and (in women still menstruating) psychological symptoms of the premenstrual syndrome. In the whole sample 16 women (4%) said that they would like help for a sexual problem.The prevalence of sexual dysfunction in this series of women suggests that general practitioners should increase their alertness to the problem in their patients. IntroductionLittle is known about the frequency of sexual dysfunction among women in the general population. In the United States Kinsey et al described the range of sexual behaviour in a large but non-randomly selected sample of women in which those of high educational achievement were overrepresented.' That study was not specifically

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Section: Discussionsupporting

confidence: 75%

“…(9) Has your interest in having sex been low during the past year? (10) Has your partner experienced any difficulties with sex? (Probe impotence, premature ejaculation, low sex drive, etc) (1 1) Have you had problems with sex because of the way you get on with your partner in general?…”

Section: Appendixmentioning

confidence: 99%

Sexual dysfunction among middle aged women in the community

Osborn¹,

Hawton²,

Gath³

1988

BMJ

197

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“…Turning finally to the question of pre-operative contraceptive methods, the present results support the findings of Lieberman et al (1978), Cooper et al (1981) and others. Changes in menstrual functioning following elective contraceptive sterilization appear to be attributable largely to withdrawal of the pre-operative contraceptive method, and in particular of oral contraceptives, rather than to the sterilization itself.…”

Section: Discussionsupporting

confidence: 94%

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

et al. 1985

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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.

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“…nur geringe mit der Sterilisation verbundenen Verschlechterungen der psychischen Gesundheit (Cliquet et al 1981;Cooper et al 1981Cooper et al , 1982Goldberg 1978;WHO-Report 1984Smith 1979;Smith et al 1994). Allerdings kann die Sterilisation wie ein Katalysa-tor wirken und bis dahin latent gebliebene psychiatrische Erkrankungen ans Licht fördern.…”

Section: Psychiatrische Folgenunclassified

“…stehen neben anderen Faktoren insbesondere mit der vorherigen Verhütungsmethode sowie der Einstellung der Frauen zur Menstruation in Zusammenhang (Alder 1984;Bordahl 1984;Cooper et al 1981;Shain et al 1989;Tang u. Chung 1997;Wille 1978). So ist zu vermuten, dass Frauen, die sich aufgrund dysfunktionaler Blutungen hysterektomieren lassen (Cooper 1983;Templeton u. Cole 1982), die Hysterektomie eher akzeptieren, weil sie (stärkere) Blutungen nach der Sterilisation aufgrund der allmonatlichen Erinnerung an die nicht mehr bestehende Fortpflanzungsfähigkeit als störender wahrnehmen bzw.…”

Section: Menstruationunclassified

Psychologische Aspekte der Tubensterilisation

Meyer¹

2000

Reproduktionsmedizin

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Psychological and physical outcome after elective tubal sterilization

Cited by 25 publications

References 7 publications

Sexual dysfunction among middle aged women in the community

Sexual dysfunction among middle aged women in the community

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

Psychologische Aspekte der Tubensterilisation

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