Is there any evidence for a post-tubal sterilization syndrome?
Is there any evidence for a post-tubal sterilization syndrome?
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DOI：
10.1016/s0015-0282(97)00229-x
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发表时间：
1998-02-01
影响因子：
6.7
通讯作者：
Helbig, DW
中科院分区：
文献类型：
--
作者：
Gentile, GP;Kaufman, SC;Helbig, DW
目的：回顾文献月经和激素变化的妇女谁接受tubal sterilization.Design：通过MEDLINE和文献检索的系统评价，确定了200多篇文章在英语文献中，最相关的被选为本次review. Results（s）：许多作者调查了女性绝育的后遗症。据报道，经前痛苦增加，月经出血加重和延长，痛经增加。然而，未能控制年龄、产次、肥胖、既往避孕药使用、绝育间隔或绝育类型可能会影响研究结果。大多数控制这些重要变量的研究并没有报告显着的变化，除了在妇女谁接受绝育20和29岁之间的age.Conclusions（S）：输卵管绝育是不相关的风险增加月经功能障碍，痛经，或增加经前痛苦的妇女谁经历的程序后30岁。年轻女性的风险可能会增加，尽管她们似乎没有发生显着的荷尔蒙变化。(C)1998年，美国生殖医学会。
Objective: To review the literature on menstrual and hormonal changes in women who undergo tubal sterilization.Design: A systematic review through MEDLINE and a literature search identified more than 200 articles in the English literature from which the most relevant were selected for this review.Result(s): Many authors have investigated the sequelae of female sterilization. Increased premenstrual distress, heavier and more prolonged menstrual bleeding, and increased dysmenorrhea have been reported. However, failure to control for age, parity, obesity, previous contraceptive use, interval since sterilization, or type of sterilization may have affected study results. Most studies that have controlled for these important variables have not reported significant changes, except in women who undergo sterilization between 20 and 29 years of age.Conclusion(s): Tubal sterilization is not associated with an increased risk of menstrual dysfunction, dysmenorrhea, or increased premenstrual distress in women who undergo the procedure after age 30 years. There may be some increased risk for younger women, although they do not appear to undergo significant hormonal changes. (C) 1998 by American Society for Reproductive Medicine.