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  • Title: Elective sterilization in childless women.
    Author: Benjamin L, Rubinstein LM, Kleinkopf V.
    Journal: Fertil Steril; 1980 Aug; 34(2):116-20. PubMed ID: 7409229.
    Abstract:
    Follow-up data on a series of 35 nulliparous women sterilized by laparoscopic tubal ligation have been analyzed for changes in menstrual pattern, motivation, and poststerilization adjustment problems with particular interest in feelings of regret. There was no significant change in menstrual function in these patients following surgery. There did not appear to be a significantly higher rate of regret in nulliparous women undergoing tubal ligation than that seen in studies of parous women. Feelings of unhappiness with regard to sterility were not related to age at the time of the request and may be more likely to occur in women choosing tubal ligation for medical reasons. A follow-up study was conducted on 35 nulliparous women who underwent sterilization by laparoscopic tubal ligation. The women were questioned at 18-48 months postoperative. 2 of the patients had suffered postoperative complications of wound infection and 2 had endured pain of more than 48 hours. 1 failed procedure resulted in an ectopic pregnancy. The interval, duration, and amount of menstrual flow was unchanged following sterilization. For most of the patients, their sex lives and partner relationships were unchanged. At the time of follow-up, 80% were willing to repeat the operation and there had been no requests for reversal. Most had requested the sterilization because of their inability to tolerate or distrust of other contraceptive methods. Those who had requested sterilization for medical reasons were more likely to be unhappy with the resultant sterility than were the others in the group. Age was, in fact, less of a factor for regret than medical indications for the procedure.
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