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Luteal function declines after laparoscopic sterilization by Hulka or Filshie clips
S Sumiala1, J Tuominen, K Irjala
1Department of Obstetrics and Gynecology, Turku University Central Hospital, Turku, Finland. susanna@sumiala.pp.fi
Contraception
|January 4, 2001
Summary
Laparoscopic sterilization using Hulka or Filshie clips may temporarily impair corpus luteum function, leading to luteal phase deficiency. Progesterone levels and endometrial function showed changes post-procedure.
Area of Science:
- Reproductive Endocrinology
- Gynecologic Surgery
Background:
- Corpus luteum function is crucial for menstrual cycle regulation and fertility.
- Laparoscopic sterilization is a common method of permanent contraception.
Purpose of the Study:
- To evaluate the impact of laparoscopic sterilization with Hulka or Filshie clips on corpus luteum function.
- To assess changes in serum progesterone and endometrial status post-sterilization.
Main Methods:
- Prospective study of 46 women undergoing laparoscopic sterilization.
- Serum progesterone measured pre-sterilization and at 3 and 12 months post-procedure.
- Endometrial biopsies and basal body temperature charting used to assess luteal phase function.
Main Results:
- A significant decline in luteal phase progesterone concentrations was observed 3 months after sterilization.
- Progesterone levels showed a trend towards recovery by 12 months post-procedure.
- A tendency for more frequent endometrial out-of-phase findings was noted one year after surgery.
Conclusions:
- Laparoscopic tubal sterilization is associated with an increased risk of temporary luteal phase deficiency.
- The observed luteal phase dysfunction may resolve over time, suggesting a transient effect.