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Results for “Tubal Occlusion--side effects”

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PubMedDate not supplied

Menstrual patterns after female sterilization: variables predicting change.

Previous studies of the changes in menstrual pattern characteristics following sterilization have been flawed by methodologic errors. As a result, contradictory findings have been reported. Appropriate methodologic approaches to the study of poststerilization menstrual patterns are presented, and a new methodologic approach-an index of menstrual pattern change-is offered, which evaluates four menstrual parameters simultaneously. A carefully controlled study using this index indicates that most women report no change in menstrual pattern at 12 months poststerilization, and among those who do experience change, changes in one direction are balanced by changes in the other direction. The changes reported include improvements as well as changes for the worse. The best predictor of whether a woman would experience menstrual pattern change after sterilization is whether her pattern had any abnormal characteristics during the three months prior to the procedure. Surgical variables and special subgroups of women are also evaluated.

Adult↗
PubMed1985

Long-term risk of menstrual disturbances after tubal sterilization.

We analyzed data from the Walnut Creek Contraceptive Drug Study to compare the menstrual characteristics of 719 women who had tubal sterilizations and 1083 women whose partners had undergone a vasectomy. Study participants were enrolled from 1968 to 1972 and followed up through 1976. The tubal sterilization group had slightly increased, though in most instances not statistically significant, risks of moderate to severe menstrual cramps and adverse menstrual bleeding. At follow-up intervals longer than 2 years, the tubal sterilization group had significantly increased risks of abnormal menstrual cycles and combinations of two or more adverse menstrual outcomes. Tubal sterilization was not associated with an increased risk of premenstrual symptoms. These findings suggest that the types of tubal sterilization procedures which were performed during the early 1970s possibly carry some increased risk of menstrual disturbances, particularly abnormal cycles, and that it may take more than 2 years for the increased risk to become apparent.

Adolescent↗
PubMed1986

Effects of meclofenamate and acetaminophen on abdominal pain following tubal occlusion.

To test the hypothesis that the postoperative abdominal pain of tubal occlusion is mediated by prostaglandins, the effects of meclofenamate, a potent inhibitor of cyclooxygenase, on postoperative analgesia and incidence of abdominal pain were compared with those of acetaminophen, a weak inhibitor of prostaglandin activity. One hundred patients undergoing tubal occlusion under local anesthesia were studied. The patients were randomly divided into four equal groups: control; acetaminophen, 1300 mg; meclofenamate, 100 mg; meclofenamate, 200 mg. The fallopian tubes were occluded by electrocautery in 47 patients and by application of Falope rings in 53 patients. Both acetaminophen and meclofenamate provided substantial analgesia for 4 hours after the operation (p less than 0.05). Meclofenamate reduced the incidence of abdominal pain by one half (p less than 0.02), but acetaminophen did not. These results suggest that a portion of pain relief achieved by meclofenamate may be due to suppression of myosalpingian and/or myometrial contractions, a process mediated by prostaglandins.

Acetaminophen↗
PubMed1994

Female sterilisation.

Adverse effects of female sterilisation are a popular subject for media focus; however, in reality modern techniques mean that the benefits outweigh the risks.

Female↗
PubMedDate not supplied

Learning hysteroscopy sterilization and the Ovabloc System with Hyskon.

A review of the first 100 and the last 100 patients in a series of 268 patients sterilized by hysteroscopic injection of liquid silicone into the fallopian was made to evaluate the success rate as it relates to experience with the procedure. The two groups were similar in composition. While the percentage of patients sterilized increased only from 91% in the first 100 patients to 94% in the last 100 patients the numbers that were sterilized at the time of the first procedure increased by 9%. The two major reasons for repeated procedures were tip separation and tubal spasm. The former may become less of a problem with new manufacturing changes. Tubal spasm was reduced as a problem by controlling the temperature of Hyskon but it remains a difficult problem in a smaller number of patients even in the last group. Other causes for repeated procedures were primarily related to operator inexperience and investigational problems. They appear not to be a significant problem for physicians who will learn this procedure in future. This procedure is well received by patients. Hysteroscopists will find it a valuable outpatient female sterilization technique.

Adult↗
PubMedDate not supplied

Reproductive tract infections in a family planning population in rural Bangladesh.

In contrast to social, religious, and economic determinants of acceptance and sustained use of family planning in developing countries, perceived side effects resulting from reproductive tract infections can usually be ameliorated easily and expeditiously. This population-based study examines the magnitude and nature of morbidity due to reproductive tract infections among users of various contraceptive methods and among nonusers in a rural community in Bangladesh. Overall, 22 percent of the 2,929 women surveyed reported symptoms of reproductive tract infection. Of the 472 symptomatic women examined, 68 percent had clinical or laboratory evidence of infection. Users of intrauterine devices and tubectomy were each approximately four times as likely to report symptoms and seven times as likely to have examination-confirmed infection as nonusers. The epidemiology of reproductive tract infections in this population is addressed, and the findings are discussed in terms of their potential programmatic impact.

Bangladesh↗