Moseman Cher P, Robinson Randal D, Bates G Wright, Propst Anthony M
Division of Reproductive Endocrinology and Infertility, Wilford Hall Medical Center, Department of Obstetrics and Gynecology, San Antonio Uniformed Services Health Education Consortium, Lackland Air Force Base, TX 78236, USA.
Contraception. 2006 May;73(5):512-5. doi: 10.1016/j.contraception.2005.11.005. Epub 2006 Mar 29.
We sought to identify the characteristics of women in a military population who are likely to seek a tubal anastomosis after a previous bilateral tubal ligation (BTL).
A written investigational review board-approved questionnaire was administered to 56 women, ages 18-40 years, requesting evaluation for a reversal of a prior BTL and 52 women of the same age range not seeking reversal. The questionnaire identified demographics and relationship characteristics of volunteers at the time of their decision to have a BTL and at the present time.
Age 25 years or younger, sterilization due to pressure from a partner, poor marital relationship at the time of the BTL and a new marriage are highly predictive of tubal sterilization regret and a request for sterilization reversal in a military population. In addition, women requesting a tubal anastomosis reported less preoperative counseling on the permanence of a BTL and of the male alternative for permanent female sterilization, vasectomy.
Women with these characteristics should have extensive counseling before undergoing tubal sterilization.
我们试图确定军队人群中既往接受双侧输卵管结扎（BTL）后可能寻求输卵管吻合术的女性的特征。
向56名年龄在18 - 40岁之间要求评估既往BTL复通情况的女性以及52名年龄范围相同但不寻求复通的女性发放了经调查审查委员会书面批准的问卷。该问卷确定了志愿者在决定进行BTL时以及目前的人口统计学和关系特征。
25岁及以下、因伴侣压力而绝育、BTL时婚姻关系不佳以及新婚，这些因素高度预示着军队人群中输卵管绝育后悔以及要求绝育复通的情况。此外，要求进行输卵管吻合术的女性报告称，术前关于BTL永久性以及男性永久性绝育替代方法输精管切除术的咨询较少。
具有这些特征的女性在接受输卵管绝育术前应接受广泛的咨询。
