Menstrual disorders and pelvic pain after sterilization
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Changes in menstrual cycle length, menstrual duration, number of pads, dysmenorrhea and non-cyclic pelvic pain were studied in 43 women following tubal sterilization with three different techniques. One group consisted of 17 women undergoing laparotomy by Pomeroy technique; the second group consisted of 11 women undergoing laparoscopy by Fallope rings; and the third group consisted of 15 women undergoing colpotomy by fimbriectomy. The differences before and after sterilization in cycle length were non-significant in all groups (p>0.05). After sterilization, menstrual duration and number of pads were significantly increased in the laparotomy (p<0.001) and laparoscopy (p<0.01) groups but non-significantly in the colpotomy group (p>0.05). Comparison of these parameters between the groups did not show any significant differences (p>0.05). After sterilization, increases in the severity of dysmenorrhea and non-cyclic pelvic pain were non-significant in all groups (p>0.05). We concluded that there were no significant differences in menstrual disorders after sterilization among these three different techniques.