Tubal Ligation, Menstrual Changes, and Menopausal Symptoms

Nalini Visvanathan, Grace Wyshak
In: Journal of Women's Health & Gender-Based Medicine · 2000 · vol. 9(5) , pp. 521–527 · doi:10.1089/15246090050073602 · PMID:10883944 · W2080996020
article OA: closed CC0 ⤵ 2 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Tubal ligation was associated with increased perimenopausal symptoms like hot flashes, sweating, breast pain, vaginal dryness, and menstrual pain in premenopausal women aged 40-44.

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

Abstract

One of the problematic effects of tubal sterilization is menstrual changes or disorders, although the results of studies in this area have been inconsistent and inconclusive. Recently, there has been growing evidence that tubal sterilization protects against ovarian cancer, possibly through physiological transformations that result in ovarian dysfunction and decline. This report explores the possibility that the biological mechanism of ovarian dysfunction and decline may affect the menstrual and menopausal changes that result from hormonal imbalances. Using data from a homogeneous population of college alumnae assessed for health status, athletic history, and lifestyle characteristics, we focused on a premenopausal subgroup of women in the age range of 40-44 years and with at least one pregnancy. Multivariate analyses were performed to compare sterilized women (n = 56/516, 11%) in this subgroup with nonsterilized women (89%). The two groups were alike in mean age, mean parity, body mass index, smoking history, physical activity levels, and athletic status. Factors that significantly distinguished sterilized women from nonsterilized women were perimenopausal symptoms, such as flushing, sweating, breast pain, vaginal dryness, and pain associated with menstrual cycles.

My notes (saved in your browser only)

Citation neighborhood (sparse)

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

Cites (2)

Cited by (2)

References (40)

Cited by (2)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK