Hysterectomy for dysfunctional uterine bleeding in women with previous tubal sterilization

Hethyshi Ranganna, Nirmala Shivlingiaha
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2014 · pp. 204–207 · doi:10.5455/2320-1770.ijrcog20140341 · W2106650764
article OA: diamond CC0 ⤵ 1 in-corpus citation
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-17 ⓘ

This study evaluated hysterectomies for dysfunctional uterine bleeding and found that 90.9% of these patients had previously undergone tubal sterilization.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-15 · read from full text ⓘ

This retrospective study evaluated the association between prior tubal sterilization and subsequent hysterectomy for dysfunctional uterine bleeding among women at a medical college hospital. The researchers analyzed case files from 322 patients undergoing hysterectomy, excluding those with structural abnormalities like fibroids or adenomyosis, to isolate causes of bleeding. Results indicated that among the 36 patients treated purely for dysfunctional uterine bleeding, 90.9% had previously undergone tubal sterilization, with the procedure occurring nearly two decades before the hysterectomy on average. The authors concluded that tubal sterilization serves as a significant risk factor for future hysterectomy in this specific patient population. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Background: Post tubal ligation syndrome has been a topic of debate with various studies concluding contradictory results. Hysterectomy can be considered as a continuum of the post ligation syndrome due to prolonged menstrual complaints. The present study was done to evaluate any association of tubal sterilization with hysterectomy in patients presenting with dysfunctional uterine bleeding. Methods: The study was conducted in a medical college hospital. Analysis of case files of patients who had undergone hysterectomy for dysfunctional uterine bleeding between May 2012 - May 2013 was done to note the history of prior tubal sterilization. Patients with fibroid uterus, adenomyosis, hypothyroidism, endometrial polyp, cervical polyp and those who had a hysterectomy for nonmenstrual complaints were excluded. Results: 322 patients were hysterectomised during the study period. Among them only 36 patients had a hysterectomy purely for dysfunctional uterine bleeding. Out of the 36 patients, 33 patients (90.9%) had undergone prior tubal sterilization. Hysterectomy was done after a mean duration of 19.31 ± 5.35 years after tubal sterilization. The mean age at onset of menorrhagia was at 42.05 ± 4.71 years. Conclusions: Tubal sterilization is a risk factor for future hysterectomy in patients with dysfunctional uterine bleeding.
Full text 4,254 characters · extracted from oa-doi-fallback · 6 sections · click to expand

Keywords

Tubal sterilization, Post tubal ligation syndrome, Hysterectomy, Dysfunctional uterine bleedingAbstract

Background

Post tubal ligation syndrome has been a topic of debate with various studies concluding contradictory results. Hysterectomy can be considered as a continuum of the post ligation syndrome due to prolonged menstrual complaints. The present study was done to evaluate any association of tubal sterilization with hysterectomy in patients presenting with dysfunctional uterine bleeding.

Methods

The study was conducted in a medical college hospital. Analysis of case files of patients who had undergone hysterectomy for dysfunctional uterine bleeding between May 2012 - May 2013 was done to note the history of prior tubal sterilization. Patients with fibroid uterus, adenomyosis, hypothyroidism, endometrial polyp, cervical polyp and those who had a hysterectomy for nonmenstrual complaints were excluded.

Results

322 patients were hysterectomised during the study period. Among them only 36 patients had a hysterectomy purely for dysfunctional uterine bleeding. Out of the 36 patients, 33 patients (90.9%) had undergone prior tubal sterilization. Hysterectomy was done after a mean duration of 19.31 ± 5.35 years after tubal sterilization. The mean age at onset of menorrhagia was at 42.05 ± 4.71 years.

Conclusions

Tubal sterilization is a risk factor for future hysterectomy in patients with dysfunctional uterine bleeding. Metrics

References

International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3). India, Mumbai. 2005-6;1:1-24. United Nations Population Division, Department of Economic and Social Affairs. Levels and trends of contraceptive use, 1998. Available at: http://www.un.org/esa/population/pubsarchive/wcu/fwcu.htm. Accessed 15 January 2004. Alvarez-Sanchez F, et al. Pituitary-ovarian function after tubal ligation. Fertil Steril. 1981 Nov;36:606-9. Cattanach J. Oestrogen deficiency after tubal ligation. Lancet. 1985 Apr;1(8433):847-9. Garza-Flores J, et al. Assessment of luteal function after surgical tubal sterilization. Advances in Contraception. 1991;7(4):371-7. Alvarez F, Faundes A, Brache V, Tejada AS, Segal S. Prospective study of the pituitary-ovarian function after tubal sterilization by the Pomeroy or Uchida techniques. Fertil Steril. 1989 Apr;51(4):604-8. Wilcox LW, et al. Menstrual function after tubal sterilization. American Journal of Epidemiology. 1994;135:1368-81. Tappan JG. Kroener tubal ligation in perspective. Am J Obstet Gynecol. 1973 Apr;115(8):1053-7. Boyd EM. Post-tubal-sterilization syndrome. J R Coll Gen Pract. 1987 Jun;37(299):272. Gentile GP, Kaufman SC, Helbig DW. Is there any evidence for a post-tubal sterilization syndrome? Fertil Steril. 1998 Feb;69(2):179-86. Peterson HB, Jeng G, Folger SG, Hillis SA, Marchbanks PA, Wilcox LS. U. S. Collaborative Review of Sterilization Working Group. The risk of menstrual abnormalities after tubal sterilization. U.S. Collaborative Review of Sterilization Working Group. N Engl J Med. 2000 Dec;343(23):1681-7. Shobeiri MJ, Atashkhoii S. The risk of menstrual abnormalities after tubal sterilization: a case control study. BMC Womens Health. 2005 May;5(1):5. Muldoon MJ. Gynaecological illness after sterilization. Br Med J. 1972;1:84-5. Stergachis A, Shy KK, Grothaus LC, Wagner EH, Hecht JA, Anderson G, Normand EH, Raboud J. Tubal sterilization and the long-term risk of hysterectomy. JAMA. 1990 Dec;264(22):2893-8. Goldhaber MK, Armstrong MA, Golditch IM, Sheehe PR, Petitti DB, Friedman GD. Long-term risk of hysterectomy among 80,007 sterilized and comparison women at Kaiser Permanente, 1971-1987. Am J Epidemiol. 1993 Oct;138(7):508-21. Hillis SD, Marchbanks PA, Tylor LR, Peterson HB. Tubal sterilization and long-term risk of hysterectomy: findings from the United States collaborative review of sterilization. The U. S. Collaborative Review of Sterilization Working Group. Obstet Gynecol. 1997 Apr;89(4):609-14. Moradan S, Gorbani R. Is Previous Tubal Ligation a Risk Factor for Hysterectomy because of Abnormal Uterine Bleeding? Oman Med J. 2012 Jul;27(4):326-8.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

adenomyosis

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (2)

Cited by (1)

References (16)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK