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