Clinical Repercussions of Videolaparoscopic Tubal Ligation

Study Objective: This study aimed to evaluate the clinical repercussions of the videolaparoscopic tubal ligation.Design: This is a retrospective, longitudinal study, with a convenience sample of 130 women, between 19 and 49 years, submitted to videolaparoscopic tubal ligation, according the tubal ring and bipolar coagulation techniques, during the period of January 1999 to December 2007. Disorders in menstrual cycle period, amount of bleeding, duration of menstruation, presence of pre-menstrual distress, dysmenorrhea, dyspareunia, pelvic pain and satisfaction with sexual life were reported through a pre-established questionnaire. Each women served as her own control and comparison with the period pre and post tubal ligation was established, utilizing the Wilcoxon test, the McNemar test and Chi-square or Fisher's exact tests, with a confidence interval of 95% and p < 0.05 statistically significant.Setting: Botucatu Medical School São Paulo State University - UNESP. Gynecological Endoscopy and Family Planning Sector.Patients: Convenience sample of 130 women, submitted to videolaparoscopic tubal ligation, during the period of January 1999 to December 2007.Intervention: Retrospective analyzes of data. Interview with application of a pre-established questionnaire.Measurements and Main Results: Data showed an increase statistically significant after tubal ligation on the amount of bleeding (p = 0,001), presence of pre-menstrual distress (p < 0.001), dysmenorrhea (p = 0.019) and pelvic pain (p = 0.001). A reduction also statistically significant in the number of sexual relations during the week (p = 0.001) and on libido (p = 0.001) was observed. Women aged ≤ 35 years, at the moment of sterilization, were more likely to develop symptoms.Conclusion: The videolaparoscopic tubal ligation, regardless the technique utilized, showed to be associated with an increase in amount of bleeding and pre-menstrual distress, mainly in women aged ≤35 years, and showed also a negative influence on sexual activity. Study Objective: This study aimed to evaluate the clinical repercussions of the videolaparoscopic tubal ligation. Design: This is a retrospective, longitudinal study, with a convenience sample of 130 women, between 19 and 49 years, submitted to videolaparoscopic tubal ligation, according the tubal ring and bipolar coagulation techniques, during the period of January 1999 to December 2007. Disorders in menstrual cycle period, amount of bleeding, duration of menstruation, presence of pre-menstrual distress, dysmenorrhea, dyspareunia, pelvic pain and satisfaction with sexual life were reported through a pre-established questionnaire. Each women served as her own control and comparison with the period pre and post tubal ligation was established, utilizing the Wilcoxon test, the McNemar test and Chi-square or Fisher's exact tests, with a confidence interval of 95% and p < 0.05 statistically significant. Setting: Botucatu Medical School São Paulo State University - UNESP. Gynecological Endoscopy and Family Planning Sector. Patients: Convenience sample of 130 women, submitted to videolaparoscopic tubal ligation, during the period of January 1999 to December 2007. Intervention: Retrospective analyzes of data. Interview with application of a pre-established questionnaire. Measurements and Main Results: Data showed an increase statistically significant after tubal ligation on the amount of bleeding (p = 0,001), presence of pre-menstrual distress (p < 0.001), dysmenorrhea (p = 0.019) and pelvic pain (p = 0.001). A reduction also statistically significant in the number of sexual relations during the week (p = 0.001) and on libido (p = 0.001) was observed. Women aged ≤ 35 years, at the moment of sterilization, were more likely to develop symptoms. Conclusion: The videolaparoscopic tubal ligation, regardless the technique utilized, showed to be associated with an increase in amount of bleeding and pre-menstrual distress, mainly in women aged ≤35 years, and showed also a negative influence on sexual activity.