Winston R M
Br Med J. 1977 Jul 30;2(6082):305-7. doi: 10.1136/bmj.2.6082.305.
Between 1975 and 1976 103 women requesting sterilisation reversal were interviewed at Hammersmith Hospital. Their average age at sterilisation was 26-7 years; 65 (63-1%) had been sterilised immediately after pregnancy, and many patients had previously used contraception inadequately when they were sterilised. When they had been sterilised 78 (75-7%) patients were unhappily married and remarriage was the chief reason for the request for reversal. Sexual dissatisfaction after sterilisation was common, but there was no obvious increase in menstrual disturbance. Thirty-nine (37-8%) patients had been sterilised by irreversible methods, and in only half the cases sterilised by tubal ligation were conditions technically suitable for reversal surgery. It therefore seems unwise to sterilise women under 30 particularly immediately after pregnancy or if their marriage is in jeopardy.
1975年至1976年间,在哈默史密斯医院对103名要求输卵管复通的女性进行了访谈。她们绝育时的平均年龄为26.7岁;65名(63.1%)在产后立即接受了绝育手术,许多患者在绝育时曾未充分使用避孕措施。绝育时,78名(75.7%)患者婚姻不幸福,再婚是要求复通的主要原因。绝育后性方面的不满很常见,但月经紊乱并无明显增加。39名(37.8%)患者接受了不可逆的绝育方法,在接受输卵管结扎绝育的病例中,只有一半在技术上适合进行复通手术。因此,对30岁以下的女性进行绝育,尤其是在产后立即绝育或婚姻处于危机时绝育,似乎是不明智的。