Tubal Ligation, Menstrual Changes, and Menopausal Symptoms

Visvanathan, Nalini; Wyshak, Grace

doi:10.1089/15246090050073602

Cited by 20 publications

(14 citation statements)

References 40 publications

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“…In controlled studies, the majority report a higher prevalence of hot flashes among women with prior tubal ligation (Visvanathan and Wyshak, 2000; Whiteman et al , 2004; Wyshak, 2004). A study of 3650 postmenopausal women in the United Kingdom reported a 38% increase (95% CI: 1.02–1.87) in the odds of menopause before the age of 49 years among women who reported tubal ligation (Pokoradi et al , 2011); we did not observe an association between tubal ligation and menopausal age.…”

Section: Discussionmentioning

confidence: 99%

Tubal ligation in relation to menopausal symptoms and breast cancer risk

et al. 2013

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Background:Local inflammation after tubal ligation may affect ovarian function and breast cancer risk.Methods:We analysed tubal ligation, menopausal characteristics, and breast cancer risk in the Sister Study cohort (N=50 884 women).Results:Tubal ligation was associated with hot flashes (hazard ratio (HR) 1.09; 95% confidence interval (CI): 1.06–1.12) but not menopausal age (HR 0.99; 95% CI: 0.96–1.02). Tubal ligation did not have an impact on breast cancer overall (HR 0.95; 95% CI: 0.85–1.06), but had a suggested inverse relation with oestrogen receptor+/progesterone receptor+ invasive tumours (HR 0.84; 95% CI: 0.70–1.01), possibly because of subsequent hysterectomy/bilateral oophorectomy.Conclusion:Tubal ligation does not influence overall breast cancer risk.

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Section: Discussionmentioning

confidence: 99%

Tubal ligation in relation to menopausal symptoms and breast cancer risk

et al. 2013

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“…4,20 Whether tubal sterilization causes hormonal dysfunction has not been determined definitively, although many investigators have examined changes in menstrual symptoms and circulating hormone levels as markers of disrupted hormonal functioning. Increased disturbance in menstrual cycles and symptoms in sterilized women, when compared with those of either a control group or the sterilized women before the procedure, have been observed in most, [20][21][22][23][24][25][26] but not all, [27][28][29] studies. In many, 5,6,18,[30][31][32][33] but not all, 28,29,[34][35][36] of the studies that examined circulating or urinary hormone levels, women who had been sterilized had significantly lower hormone levels than those in the same women before sterilization or in control women.…”

Section: Discussionmentioning

confidence: 99%

Tubal sterilization in relation to breast cancer risk

Eliassen

Colditz

Rosner

et al. 2005

Intl Journal of Cancer

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Tubal sterilization methods may damage surrounding tissue, potentially disrupting the ovarian blood supply and hormonal functioning, and may decrease breast cancer risk. We examined this hypothesis, within the Nurses' Health Study, among 77,511 women, aged 30-55 years and free of cancer at the start of followup in 1976. We documented 4,176 cases of invasive breast cancer from 1976 to 2000. Cox proportional hazards models, adjusting for multiple breast cancer risk factors, provided rate ratios (RR) and 95% confidence intervals (CI). Overall, tubal sterilization was not associated with breast cancer risk (RR 5 0.95, 95% CI 5 0.88-1.03). However, tubal sterilizations performed from 1970 to 1974 were inversely associated with risk (RR 5 0.84, 95% CI 5 0.73-0.97), while procedures performed in other years were not associated with risk. Among women with procedures performed in 1970-1974, those who were 35 years old at the time of sterilization were at the lowest risk (RR 5 0.81, 95% CI 5 0.66-0.98), while younger women had a suggested decreased risk (RR 5 0.87, 95% CI 5 0.72-1.06). Overall, tubal sterilization was not associated with breast cancer risk. However, a modest inverse association was observed at a time when the potentially destructive unipolar electrocautery method was commonly used, providing some support for an association between lower lifetime exposure to hormones and a decreased risk of breast cancer. ' 2005 Wiley-Liss, Inc.

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“…Gülüm and colleagues showed that the sexual function was decreased significantly by the tubal ligation in a study which conducted on 153 patients at 2010 (21). Visvanathan and his colleagues also reported that tubal ligation is associated with increased menstrual cycle and menopausal symptoms as well as depressive symptoms, and increased menopausal cardiovascular disease, coronary heart disease, diabetes and osteoporosis (22).…”

Section: Discussionmentioning

confidence: 99%

Is tubal ligation effective on sexual dysfunction?

Karli

Kara

2018

Medical Science and Discovery

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Recently, the International Consensus Development Conference on Female Sexual Dysfunctions (Definitions and Classifications) has been organized to develop a new classification for sexual dysfunction regardless of etiology. AbstractObjective: Commonly used methods for preventing pregnancy in Turkey are withdrawal (30%), intrauterine device (27.2%), tube ligation (16.7%), condom (15.2), injection (8.9%), and combined oral contraceptive (1.9%). Protection from pregnancy is one of the most important factors affecting women's health. One of the preferred methods to protect against pregnancy is the 16.7% choice of tube ligation. Tube ligation is used as a contraceptive method but this method has some undesirable consequences. Our aim in this study is to investigate whether tubal ligation has effect on sexually dysfunctional and it is related to the process. Material method:We included in our study 161 patients using tubal ligation and 77 non-prevention methods. We recorded the demographic characteristics of these patients. We applied the fsfi scale. This questionnaire is a scale of sexual function assessment consisting of 19 questions evaluating sexual functions. Result:We did not find any difference in the total fsfi (female sexual function index) score between the patients who underwent tubal ligation and those who did not. However, we found a significant decrease in sexual desire and satisfaction in the tubal ligation group. In the subgroup analyzes of the fsfi score, results indicate that the correlation bonds with the subgroups of the tubal ligation group was deteriorated. Conclusion:Tubal ligation is a preferred method for contraception target, and various studies related to the effects on health have been made. Also, this study determined that tubal ligation has no effect on total fsfi scores. However, subgroup work seemed to have an effect on demand and satisfaction. In addition all, the duration of tubal ligation didn't have any effect on sexual function.

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Tubal Ligation, Menstrual Changes, and Menopausal Symptoms

Cited by 20 publications

References 40 publications

Tubal ligation in relation to menopausal symptoms and breast cancer risk

Tubal ligation in relation to menopausal symptoms and breast cancer risk

Tubal sterilization in relation to breast cancer risk

Is tubal ligation effective on sexual dysfunction?

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