Amasya University Sabuncuoğlu Şerefeddin Education and Research Hospital, Gynocology and Obstetrics Clinic, Amasya, Turkey.
Kütahya University of Health Sciences Faculty of Medicine, Department of Gynocology and Obstetrics, Kütahya, Turkey.
J Gynecol Obstet Hum Reprod. 2021 Jun;50(6):102054. doi: 10.1016/j.jogoh.2020.102054. Epub 2021 Jan 7.
The use of tubal ligation as a contraceptive method has started to increase because it is a safe procedure with high protection. This increase also brings to mind what the procedure-related adverse effects may be. The aim of this study was to investigate the long-term effects whether tubal ligation performed during caesarean had an effect on dysmenorrhea, dyspareunia, menstrual pattern, and hormones.
Our study was retrospectively conducted by archive scanning and phone calls of a total of 220 patients who were divided into two groups as the study group, which underwent tubal ligation during the caesarean section (n = 110), and the control group (n = 110), which had caesarean section but did not undergo tubal ligation. Patients who did not meet the inclusion criteria were not included in the study. The patients were invited to the hospital on the second or third days of their menstrual cycles. Serum TSH, FSH, LH, E2, PRL levels of these patients were studied. Their dysmenorrhoea, dyspareunia symptoms and menstrual cycle patterns were questioned. The results of the groups were compared.
There was no significant difference between the hormone levels and dysmenorrhoea-dyspareunia evaluations of both groups (p > 0.05). However, it was found that menstrual cycle irregularity was higher in the group that underwent tubal ligation and this difference was statistically significant (p < 0.05).
In women who underwent tubal ligation during caesarean section, it was found that there was no difference in menstrual cycle pattern, hormone levels, dysmenorrhea, and dyspareunia, except for menstrual cycle irregularity.
输卵管结扎术作为一种避孕方法的使用已开始增加，因为它是一种安全且保护率高的程序。这种增加也让人想起手术相关的不良反应可能是什么。本研究旨在调查输卵管结扎术是否会对痛经、性交痛、月经模式和激素产生长期影响。
我们的研究通过档案扫描和总共 220 名患者的电话回顾性进行，这些患者分为两组：研究组在剖宫产时行输卵管结扎术（n = 110），对照组（n = 110）行剖宫产但未行输卵管结扎术。未满足纳入标准的患者不包括在研究中。邀请这些患者在月经周期的第 2 或第 3 天到医院就诊。研究了这些患者的血清 TSH、FSH、LH、E2、PRL 水平。询问了他们的痛经、性交痛症状和月经周期模式。比较了两组的结果。
两组的激素水平和痛经-性交痛评估结果无显著差异（p > 0.05）。然而，发现行输卵管结扎术的组月经周期不规则率更高，且这种差异具有统计学意义（p < 0.05）。
在剖宫产时行输卵管结扎术的女性中，除了月经周期不规则外，在月经模式、激素水平、痛经和性交痛方面没有差异。
