Post tubal ligation menorrhagia and pelvic pain.

16 patients with menorrhagia and requiring hysterectomy were studied. The incidence of this syndrome is reported as 25%. The pelvic pain is sometimes due to intermittent torsion of the ovary or tubal fimbria after the surgical alteration of the adnexa. It may reflect impaired diffusion of sex hormones from ovary to uterus. A transcervical technique of tubal obliteration utilizing chemical techniques results in the avoidance of the sequelae of pain and menorrhagia. Fimbriectomy may be the best surgical procedure to diminish the occurrence of post ligation pain and menorrhagia. (Authors modified)