MENSTRUAL PATTERN FOLLOWING TUBAL LIGATION: A HISTORICAL COHORT STUDY

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JAHANIAN SADATMAHALLEH SHAHIDEH; ZIAEI SAEIDEH; KAZEMNEJAD ANOSHIRVAN; MOHAMADI EESA

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Journal Paper

Paper Information

Journal: International Journal of Fertility & Sterility Year:2016 | Volume:9 | Issue:4 Page(s): 477-482

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Title

MENSTRUAL PATTERN FOLLOWING TUBAL LIGATION: A HISTORICAL COHORT STUDY

Author(s)

JAHANIAN SADATMAHALLEH SHAHIDEH | ZIAEI SAEIDEH | KAZEMNEJAD ANOSHIRVAN | MOHAMADI EESA | Issue Writer Certificate

Keywords

HISTORICAL COHORT STUDY

TUBAL LIGATION

MENSTRUAL DISORDERS

PICTORIAL BLOOD LOSS ASSESSMENT CHART

Abstract

Background: TUBAL LIGATION (TL) is recommended for women who have completed their family planning. The existence of the MENSTRUAL DISORDERS following this procedure has been the subject of debate for decades. This study was conducted to identify the relationship between TUBAL LIGATION and MENSTRUAL DISORDERS.Materials and Methods: A HISTORICAL COHORT STUDY was carried out on 140 women undergoing TUBAL LIGATION (TL group) and on 140 women using condom as the main contraceptive method (Non-TL group). They aged between 20 and 40 years and were selected from a health care center in Rudsar, Guilan Province, Iran, during 2013-2014. The two groups were comparable in demographic characteristics, obstetrical features and menstrual bleeding pattern using a routine questionnaire. A validated PICTORIAL BLOOD LOSS ASSESSMENT CHART (PBLAC) was also used to measure the menstrual blood loss.Results: Women with TL had more menstrual irregularity than those without TL (24.3 vs.10%, P=0.002). Women with TL had more polymenorrhea (9.3 vs.1.4%, P=0.006), hypermenorrhea (12.1 vs.2.1%, P=0.002), menorrhagia (62.9 vs.22.1%, P<0.0001) and menometrorrhagia (15.7 vs.3.6%, P=0.001) than those without TL. There is a significant difference in the PBLAC score between women with and without TL (P<0.0001). According to logistic regression, age odds ratio [(OR=1.08, confidence interval (CI): 1.07-1.17, P=0.03)], TL (OR=5.95, CI: 3.45-10.26, P<0.0001) and cesarean section (OR=2.72, CI: 1.49-4.97, P=0.001) were significantly associated with menorrhagia.Conclusion: We found significant differences in MENSTRUAL DISORDERS between women with and without TL. Therefore, women should be informed by the health providers regarding the advantages and disadvantages of TL before the procedures.

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APA: Copy

JAHANIAN SADATMAHALLEH, SHAHIDEH, ZIAEI, SAEIDEH, KAZEMNEJAD, ANOSHIRVAN, & MOHAMADI, EESA. (2016). MENSTRUAL PATTERN FOLLOWING TUBAL LIGATION: A HISTORICAL COHORT STUDY. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, 9(4), 477-482. SID. https://sid.ir/paper/305838/en

Vancouver: Copy

JAHANIAN SADATMAHALLEH SHAHIDEH, ZIAEI SAEIDEH, KAZEMNEJAD ANOSHIRVAN, MOHAMADI EESA. MENSTRUAL PATTERN FOLLOWING TUBAL LIGATION: A HISTORICAL COHORT STUDY. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY[Internet]. 2016;9(4):477-482. Available from: https://sid.ir/paper/305838/en

IEEE: Copy

SHAHIDEH JAHANIAN SADATMAHALLEH, SAEIDEH ZIAEI, ANOSHIRVAN KAZEMNEJAD, and EESA MOHAMADI, “MENSTRUAL PATTERN FOLLOWING TUBAL LIGATION: A HISTORICAL COHORT STUDY,” INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, vol. 9, no. 4, pp. 477–482, 2016, [Online]. Available: https://sid.ir/paper/305838/en

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