Psychological sequelae to elective sterilisation: a prospective study.

Abstract

A total of 201 women were interviewed four weeks before elective interval tubal sterilisation, of whom 190 (94-5%) were assessed again six months postoperatively and 193 (96 0%) 18 months postoperatively. Before sterilisation the prevalence of psychiatric morbidity as measured by the present state examination was 104% (21 patients), no greater than might be expected in a general population sample; six months after the operation the prevalence was significantly reduced to 4-7% (nine patients); and 18 months postoperatively it had returned almost to the preoperative value (9-3%; 18 patients). Postoperative psychosexual disturbance was rare, only 3% of patients reporting reduced enjoyment of sexual intercourse at either follow-up. Considerable regret was reported by only five patients (2-6%) six months after the operation and by eight (4 1%) 18 months after the operation; however, some dissatisfaction was reported by 15 patients (7-9%) at six months and 21 patients (10-9%) at 18 months. Postoperative psychiatric disturbance and dissatisfaction were largely associated with preoperative psychiatric disturbance.Thus there was no evidence that elective interval sterilisation increased the risk of psychiatric disturbance up to 18 months after the operation.

Psychologische Aspekte der Tubensterilisation

“…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.…”

“…Die Angaben über Verbesserungen im sexuellen Bereich schwanken zwischen 10±81 %, über Verschlechterungen zwischen 3±35 % (Alder 1984; Cooper et al 1981Cooper et al , 1982Kjer 1990b;Miller et al 1991;Neuhaus et al 1995;Shain et al 1991;Smith et al . 1994;Wille 1978).…”

The Nature and Dynamics of Post‐Sterilization Regret in Married Women 1

“…Many investigators ask their respondents at the time offollow-up after surgery some question about their feelings regarding their sterilization decision or about the sterilization itself. These questions may be framed in terms of satisfaction/ dissatisfaction (e.g., Cooper, Gath, Rose, & Fieldsend, 1982), regret (e.g., Marcil-Gratton, 1988), goodness/ badness of the decision (e.g., Grubb, Peterson, Layde, & Rubin, 1985), happiness/ unhappiness (e.g., Benjamin, Rubenstein, & Kleinkopf, 1980), doubts about the decision (e.g., Bordahl, 1985), or being sorry (e.g., Cooper, Bledin, Brice, & MacKenzie, 1985). As a variant on this general approach, regret has sometimes been framed in terms of whether or not the respondent would make the same decision again (e.g., Benjamin et al, 1980) or wished he/she had not had the surgery (e.g., Cooper et al, 1982).…”

Langzeitkontrazeption

“…Long-acting contraceptives · Sterilization · Copper IUDs · Progestogen-containing · IUD · Progestogen-containing implants · Osteoporosis · Bleeding pattern · Side effect profile · Quality of life · Counseling Jones 1994; Curtis 1979;Guillebaud 2000;Neuhaus et al 1995;Petersen 1981;Rosenfeld et al 1998;Taner et al 1995 (Chi u. Jones 1994;Cooper et al 1982;Curtis 1979;Guillebaud 2000;Hillis et al 1999;Neuhaus et al 1995;Petersen 1981). Dieser Aspekt ist in Anbetracht der zunehmenden Scheidungsraten und unterschiedlichen Erfolgsquoten bei operativen Eingriffen zur Refertilisierung bzw.…”