Changes in menstrual blood loss after four methods of female tubal sterilization.
Contraception
; 40(4): 387-98, 1989 Oct.
Article
en En
| MEDLINE
| ID: mdl-2582767
ABSTRACT
PIP: 100 women seeking surgical sterilization were allocated to 1 of 4 groups--laparoscopic Fallope ring application, bipolar electrocoagulation, Hulka clip application, and Pomeroy tubal ligation through minilaparotomy--and changes in menstrual blood loss prior to sterilization and after 3, 6, and 12 months were compared. The 4 groups were comparable in terms of age, parity, and duration of marriage. All were at least 6 months postpartum or postabortion, had not used hormonal contraception or the IUD for at least 6 months before sterilization, had regular menstrual periods with moderate blood loss, and no gross pelvic pathology. The mean poststerilization increase in menstrual blood loss was greater in terms of volume after electrocoagulation (7.93 ml), lower after Fallope ring and Pomeroy (4.43 and 6.53 ml, respectively), and lowest after clip application (1.97 ml). However, when the 4 sterilization techniques were compared with each other, there were no significant differences in this variable. The percentage of women who developed menorrhagia (menstrual blood loss greater than 80 ml) decreased from 12% at 3 months poststerilization to 8% at 12 months after the procedure. By 12 months, majority (61%) were showing menstrual blood loss levels equal to or less than those recorded before sterilization. These findings lend credence to the assumption that female sterilization is an effective, safe, and feasible method of fertility control with few longterm effects on the menstrual cycle.
Palabras clave
Clips--side effects; Comparative Studies; Diseases; Electrocoagulation--side effects; Equipment And Supplies; Family Planning; Female Sterilization; Menorrhagia; Menstruation Disorders; Pomeroy Method--side effects; Research Methodology; Sterilization, Sexual; Studies; Surgery; Treatment; Tubal Ligation; Tubal Occlusion; Tubal Rings--side effects
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Esterilización Tubaria
/
Menorragia
Tipo de estudio:
Clinical_trials
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Contraception
Año:
1989
Tipo del documento:
Article
País de afiliación:
Egipto
Pais de publicación:
Estados Unidos