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Abstract

Objective
To find out disturbances in menstruation resulting from tubal sterilization.
Study design
Descriptive case series.
Place & Duration of study
Department of Obstetrics & Gynaecology, Shaikh Zaid Women Hospital, Chandka Medical College Shaheed Mohtarma Benazir Bhutto Medical University (SMBBU) Larkana, from January of 2017 to December of 2017.
Methodology
All women who had history of tubal ligation for more than one year were interviewed and asked about menstruation pattern before and after sterilization. Data was collected in predesigned proforma. Women who had any organic diseases were excluded. Detailed history, general physical along with systemic and local pelvic examination were performed.
Results
A total 150 participants were selected for the study. Seventy (47%) patients presented in the outpatient department with menorrhagia, while 42 (28%) reported with metrorrhagia. Eighty (53.3%) patients reported improvement of their symptoms with surgical treatment. Forty-five (30%) women who initially disregarded the symptoms subsequently underwent dilatation and curettage along with conservative medical treatment. Total abdominal hysterectomy was performed in 25 (16.6%) patients.
Conclusions
Most of the women reported after tubal ligation with menorrhagia and metorrhagia. More than 50% women required surgical procedure to address their symptoms, thus proper counseling must be done when tubal ligation is performed.
Key words
Tubal ligation, Menstrual disturbances, Menorrhagia, Metorrhagia.