Menstrual, psychosexual, psychological and somatic sequelae following postpartum sterilisation
Rosenfeld, B.L.; Taskin, O.; Kafkashli, A.; Rosenfeld, M.L.; Chuong, C.J.
Journal of Obstetrics and Gynaecology the Journal of the Institute of Obstetrics and Gynaecology 18(3): 256-259
1998
ISSN/ISBN: 0144-3615 PMID: 15512072 DOI: 10.1080/01443619867443Document Number: 531719
This study was designed to investigate the menstrual, psychosexual, psychological and somatic sequelae in a group of women who may be more prone to express regret following sterilisation. They were at a younger age, and all underwent postpartum sterilisation. The follow-up was conducted by a questionnaire between 6 months and 5 years following the procedure. Data were available from 242 patients with 76.8% before age 30, and 23.2% age 30 or older. Of all the patients, 21.9% regretted their choice of sterilisation. About one-third had various menstrual cycle disturbances. In general, patients rated their sex life more enjoyable in many aspects. The two most common psychological symptoms were irritability, nervousness and depression. The common somatic symptoms were pelvic/ abdominal pain, backache and tiredness. A complete assessment of the patient's postoperative condition, including menstrual cycle history, sexual history, psychological and somatic complaints if any, is warranted during presterilisation counselling in addition to a routine informed consent. This is especially important for those patients who are known to be more prone to express regret following the procedure.