Rosenfeld B L, Taskin O, Kafkashli A, Rosenfeld M L, Chuong C J
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
J Obstet Gynaecol. 1998 May;18(3):256-9. doi: 10.1080/01443619867443.
This study was designed to investigate the menstrual, psychosexual, psychological and somatic sequelae in a group of women who may be more prone to express regret following sterilisation. They were at a younger age, and all underwent postpartum sterilisation. The follow-up was conducted by a questionnaire between 6 months and 5 years following the procedure. Data were available from 242 patients with 76.8% before age 30, and 23.2% age 30 or older. Of all the patients, 21.9% regretted their choice of sterilisation. About one-third had various menstrual cycle disturbances. In general, patients rated their sex life more enjoyable in many aspects. The two most common psychological symptoms were irritability, nervousness and depression. The common somatic symptoms were pelvic/ abdominal pain, backache and tiredness. A complete assessment of the patient's postoperative condition, including menstrual cycle history, sexual history, psychological and somatic complaints if any, is warranted during presterilisation counselling in addition to a routine informed consent. This is especially important for those patients who are known to be more prone to express regret following the procedure.
本研究旨在调查一组可能在绝育后更容易表达后悔情绪的女性的月经、性心理、心理和躯体后遗症。她们年龄较小，均接受了产后绝育手术。在手术后6个月至5年期间通过问卷调查进行随访。共有242例患者的数据可供分析，其中76.8%的患者年龄在30岁以下，23.2%的患者年龄在30岁及以上。在所有患者中，21.9%后悔自己选择了绝育手术。约三分之一的患者有各种月经周期紊乱情况。总体而言，患者在许多方面对自己的性生活评价更高。最常见的两种心理症状是易怒、紧张和抑郁。常见的躯体症状是盆腔/腹部疼痛、背痛和疲劳。除了常规的知情同意外，在绝育前咨询期间有必要对患者的术后状况进行全面评估，包括月经周期史、性史、心理和躯体不适（如有）。这对于那些已知在手术后更容易表达后悔情绪的患者尤为重要。
