"Post-Tubal Ligation Pain"
OBGYN.net Editorial Advisors, James Carter, MD and
Ahmed El-Minawi, MD, PhD

click here for RealAudio/Video version *requires RealPlayer - free download
click here for text

Dr. El-Minawi:   "...definitely - we believe in post-tubal ligation syndrome. Most of the patients present with menstrual disturbances, usually menorrhagia, menometromenorrhagia, and sorry to say - the majority of the patients ended up as hysterectomy candidates...."

"Most of them present anywhere between five to ten years with an average of seven years following the surgery. Most of them have had tubal ligations with destructive tubal ligation types, Pomeroy-type tubal ligations, Irving-type tubal ligations; basically mid-segments tubal ligations are the worst type and are the most causes of post-tubal ligation syndrome."

Dr. Carter:  "...a very high percentage of those women with post-tubal ligation syndrome had adenomyosis."

"...this finding of relationship with pelvic congestion after tubal ligation, I believe, is a real problem. So if an individual has had a tubal ligation 5-10 years prior, is experiencing more and more heavy bleeding, is experiencing more and more pain, then in fact, they may have this syndrome." 

CPTwomen Comentary:   Coming soon