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Related Experiment Videos

Late sequelae following laparoscopic female sterilization.

G Bartfai1, S G Kaali

  • 1Institute of Human Reproductive Research, Women's Medical Pavilion, Dobbs Ferry, New York.

International Journal of Fertility
|January 1, 1989
PubMed
Summary

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Long-term follow-up of laparoscopic tubal sterilization in 818 women revealed low dissatisfaction (2.9%) and menstrual changes (4.8%). However, 8.2% experienced psychiatric issues, and 16.9% missed routine gynecological care, highlighting the need for counseling and follow-up.

Area of Science:

  • Reproductive Health
  • Minimally Invasive Surgery
  • Long-term Patient Outcomes

Background:

  • Elective laparoscopic tubal sterilization is a common contraceptive procedure.
  • Understanding long-term sequelae is crucial for patient counseling and care.
  • Previous studies may not fully capture the long-term psychological and gynecological impacts.

Purpose of the Study:

  • To assess long-term patient satisfaction after laparoscopic tubal sterilization.
  • To determine the incidence of menstrual changes and psychological morbidity post-procedure.
  • To evaluate adherence to routine gynecological care following sterilization.

Main Methods:

  • Retrospective study of 818 patients undergoing elective laparoscopic tubal sterilization.
  • Data collection via questionnaires and telephone contact with 623 patients.
Keywords:
Abortion HistoryAbortion, InducedAmericasAnesthesiaAttitudeBehaviorBleedingClinic ActivitiesCounselingDecision MakingDemographic FactorsDepressionDeveloped CountriesDiseasesElectrocoagulationEndoscopyExaminations And DiagnosesFamily PlanningFemale SterilizationFertility Control, PostconceptionFollow-up StudiesHealth Services EvaluationIntermediate VariablesLaparoscopyMenorrhagiaMenstruation DisordersMental DisordersMetrorrhagiaNew YorkNorth AmericaNorthern AmericaOrganization And AdministrationPerceptionPhysical Examinations And DiagnosesPopulationPopulation DynamicsProgram ActivitiesProgram EvaluationProgramsPsychological FactorsRegretResearch MethodologySatisfactionSigns And SymptomsSterilization, SexualStudiesSurgeryTreatmentTubal LigationTubal OcclusionTubal RingsUnited States

Related Experiment Videos

  • Assessment of satisfaction, menstrual changes, psychological issues, and routine gynecological care adherence.

    • Main Results:

    • Low incidence of dissatisfaction (2.9%) and undesired menstrual changes (4.8%).
    • Significant psychiatric morbidity observed in 8.2% of patients.
    • 16.9% of women failed to continue routine gynecological care post-procedure.

    Conclusions:

    • Laparoscopic tubal sterilization generally yields high satisfaction but carries risks of psychiatric morbidity.
    • A notable percentage of women discontinue routine gynecological care after sterilization.
    • Emphasizes the critical need for comprehensive pre-operative counseling and structured follow-up protocols.