Could Endometriosis Be Post Tubal Ligation Syndrome ?

A writer asked what is the chance of getting endometriosis after a tubal ligation if you have not had this before? Not that the post tubal ligation syndrome has ever been really validated, exactly, but there are issues to review. Some studies have reported that between 16-63% of the stumps of the tubes after traditional tying or burning tubal sterilization procedures will have spots of endometriosis. So as sterilizations evolve into the newer procedures, with the metal inserts, it may be seen that some women will have a risk of post tubal ligation syndrome if they have an Essure placed. It is very unlikely that either, tubal ligation or tubal blockage with the Essure of would increase the chance of endometriosis or endometrial implants that were not in the pelvis before the surgery. But before you get sterilized find out from you gyno, have you been assessed for risk of this syndrome? 1951 was first report of the post tubal ligation syndrome, and in the years since there are many contrary reports saying that post tubal ligation syndrome doesn't exist. And yet, there are suspicions because of the one positive report saying that tubal ligations can cause disruptions of a woman's periods. US Collaborative Review of Sterilization, 5 yrs out from tubals or vasectomies no significant differences on 6 questions regarding one's menstrual periods. Interestingly, sterilized women were more likely to have reduced numbers of days of bleeding, amount and menstrual pain, but more cycle irregularity. There are many actual ways to "cut" or "tie" the tubes. So when that report was done, they looked at all the various types in use: tying, banding, cutting, tubal removal. But when split into types of tubal ligation, burning the tubes with bipolar coagulation (which effectively cuts them as the tissue is destroyed) had decreased cycle irregularity but band application patients had more cycle irregularity! Since the newer methods have come on board no long term data exists. And it's the short term risks that may be more important than the long term risks. Since general anesthesia is the number one cause of death (very rare, yes!), just by switching to local with these hysteroscopic procedures, such as Essure, which can be done in a same day office setting, safety has been enhanced. And for those who have to take pills to control their cycles, or have continued heavy cycles after endometrial ablation, consider office NovaSure treatment for heavy bleeding at Women's Health Practice: 217-356-3736.

Comments

  1. Its a great blog to inform about PTLS.I realy want to know about Adiana procedure

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  2. Is PTLS occurs all birth control procedures or just by Adiana and Essure?

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  3. Williams described a 22 year experience with long term follow up of women who had tubal sterilzations via standard techniques (what women today would think of as "tying") in 1951 and described more heavy periods and bleeding between periods and it was dubbed post tubal ligation syndrome. But years later we have put modern science to the task of sorting this out and the study to best do this was known as the CREST study published around the turn of the century(2000). It showed that whether a woman had her tubes tied or her guy had his tubes tied (vas) the bleeding rates were about the same. And further more, the bleeding rates in other studies post tubal were shown to mostly be due to the irregularities that would come when women popped off their birth control pills for the first time. So it is , in conclusion, yes possible to have these effects from all the tubal surgery technologies, but we have to be careful when using this terminology as it really is not so common and applied in cases when it doesn't apply. Thanks for the question!

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  4. Is there a link between tubal ligation and breast cancer? I am a breast cancer survivor and I am interested in doing Essure or Adiana and trying to assess risk.

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  5. There has never been established links between tubal ligations and breast cancers. We know that oral contraceptives protect against ovarian cancer, and there were some studies that hinted that there could be some of that protection by tubal ligation as well. But neither Essure or Adiana has been out long enough to really be looked at long term with respect to any sort of protection like that. Since women who have had breast cancer are at risk for adverse consequences should they become pregnant they should use a highly effective method. Thanks for writing.

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  6. WOW...had adiana done on Nov 3, 2010 and the week prior to starting my period was (for lack of a better word) psycho. Found PTLS while trying to see if there was a correlation. Perhaps there is. I figured it was the hormones being aggrevated or something. What does research say about PTLS years after procedure? Years down the road? Is it related to your cycle? The minute I started I felt 100% better. It was so very strange!

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  7. A women asks if feeling "psycho" in the week prior to her first menstrual period after an Adiana was due to PTLS, her symptoms resolved after the menstrual period started. Women who have a sterilization procedure, with Adiana or any other technique may experience a variety of emotions. Short term and long term emotional changes have been reported commonly, but they are more likely to be due to coming off oral contraception, or to feelings of regret towards sterilization, or even more commonly to the normal fluctuations in hormones, and in this case the pattern sounds a bit more like PMS than other conditions. Women with the first symptoms of PMS should try the simple therapies: exercise, hydration, better sleep, avoiding alcohol and salt, and the OTC vitamins before moving on to gyno consultations. Let us know how the tubal x ray check goes in 3 months and how the next three periods go Thanks!

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  8. I have had the adiana. quite painful but he had to go through a polyp to get it in. my last two menstrual periods have been very crampy and very heavy but shorter than before. This last one has had some major hormone induced emotions. I will add that I am nursing too so could be from that also. xray next month and I probably will get my polyps removed as he said I have a lot.

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  9. To the reader that found out she had endometrial polyps at the time of Adiana insertion. It is important for women to realize that the Adiana is designed to treat pregnancy, and not the conditions of the whole uterus. Current normal periods and current normal pap smear is a good idea before the surgery. It is good that the uterine polyps were found and can be treated. Treatments for polyps are usually successful. Thanks for writing.

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  10. I never had a abnormal papsmear or exam. My six week post partum check which was done 2 months prior to adiana showed nothing. I have never been regular. The polyps were a surprise but he said bc I have 7 kids that it was probably due to being prego so many times. Going to wait and see what the xray shows then we'll make a plan from there.

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  11. nice and great information...i like your way of thinking about pregnancy.
    Thanks for sharing

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  12. http://fittobeuntiedposttubaligationsyndrome.blogspot.com/

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  13. Hi.

    I had Adiana three months ago. I am curious, has anyone reported loss of libido after Adiana? I believe I have no regret issues, I am quite thrilled to finally not have to worry about pregnancy (I have three beautiful children) but since the procedure I seem to not have that exciting feeling that comes with ovulation. My menstrual cycles also seem to have gone from a very dependable 28 days to 25? I can't help wonder if there is a connection?

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  14. Libido in women is complex, and no longer being able to have children is a known risk factor for libido changes. Furthermore, some women have better libido when they are on hormonal contraception. Women who have sterilization procedures are likely to stop hormonal contraception, and that may be one of many factors leading to a change in libido. But there is no medical evidence that Adiana should change your libido. Women who begin to get short cycles may be nearing menopause which is another factor in libido changes. If this persists it's important to check with your gynecologist.

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  15. I just had my tubes tied almost 2 weeks ago, I have had menstraul like bleeding ever since. I was told that it was normal, but to me normal is just a coupl of days. I had my period tweeks before the sutgery and I really dont want to have another one in a week. Is this "normal or is it something that I need to speak to my doctor about again? thanks

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  16. Any woman switching off of a hormonal contraceptive and onto a non-hormonal method such as sterilzation may experience a transition of menstrual irregularity. Gynecologists define types of bleeding differently, but I encourage patients with a bleeding episode this long to come in and see me, regardless of the inciting cause. Thanks

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  17. i was dx with post tubal ablation syndrome recently and i am only 27 y/o...the treatment is hyst...i had my tubes tied on 2006 and n ablation in 2008 here it is 2011 and i have to have a life changin procedure done at such and early age

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  18. Fortunately it is relatively uncommon to have to have a hysterectomy, and it will solve the post tubal ablation syndrome. It is important for a woman at 27 with uterine pathology that requires a hysterectomy to ask your gynecologist if you can keep your ovaries.

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  19. I had the Adiana procedure back in February. At first my periods were irregular and now they come every five weeks on the day. My husband and my sex life has been better since the procedure. I would recommend this procedure to anyone that doesn't want anymore children or none at all. I even went shopping right after my procedure so there is practically no down time with it which is nice when you got a three year old. Every now and then I get cramps and lower back pain that goes away with taking a couple ibuprofen. I did find out the reason for the pain and cramps are from when I'm ovulating, but that doesn't stop my husband and me from having fun:)

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  20. A reader gives us a little bit of insight as to her positive experience with transcervical intrauterine sterilzation procedure. In her case she had the Adiana procedure. Essure sterilization procedures are performed identically but it uses tiny coils rather than the small rice sized pellets of the Adiana. Currently Adiana has voluntarily withdrawn their product from the market, and the last Adiana devices are being used up. These sterilization procedures are typically done in an office or out patient surgical setting, often under local, and are quick with a rapid recovery time. Thanks for sharing your experience with our readers.

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