Lakshmi P* and K Suresh

Masters of Public Health (MPH) Karnataka State Rural Development and Panchayat Raj University (KSRDPRU), GADAG, Karnataka, India

*Corresponding Author: Lakshmi P, Masters of Public Health (MPH) Karnataka State Rural Development and Panchayat Raj University (KSRDPRU), GADAG, Karnataka, India

Received: January 20, 2022; Published: February 16, 2022

Abstract

Hysterectomy is a most common surgical procedure performed on women to remove the uterus and the cervix. In total abdominal hysterectomy with bilateral salphingo-oophorectomy a surgical operation is used to remove the uterus, cervix, fallopian tubes and both ovaries. This surgical procedure is usually done to minimise complications of the conditions like Uterine fibroids, Uterine prolapsed, Cancer, cervix, or ovaries Chronic pelvic pain Pelvic inflammatory disease (PID), Endometriosis, Ovarian mass, ectopic pregnancy and adenomyosis. The surgery is usually performed under general or spinal anaesthetic.

Female sterilisation is one of the most widely used contraceptive procedures, with over 180 million women worldwide using it. Globally and in the United States, female sterilisation is 2.5- to 4-times more widespread than male sterilisation and in India it is about 99 percent of overall sterilisation since early 1990s.This long-term effect of female sterilisation, which is commonly performed on healthy women of reproductive age, poses a number of concerns. Concerns about the decision-making process and the occurrence of long-term negative effects are among them. In India the commonest cause of concern for over 5 decades has been tubal ligation operation among young women under the age of 30 years. There are multiple studies both in India and abroad indicating that nearly 50% of such young women had to be subjected for hysterectomies due to intractable menorrhagia problems

We present one such case of 37 years old women who had to undergo a total abdominal hysterectomy with bilateral salphingo-oophorectomy after 15 years of female sterilization. She presented with complaint of severe menstrual bleeding and pain for the past 1 year and in her last 2 menstruation cycles she had severe pain with heavy blood clots and fainted. The severity of these symptoms made her to seek medical care.

The current case study looks at how sterilisation affects other elements of women's health. Menstrual cycle alterations, hysterectomy, bone density, the risk of sexually transmitted disease, sexuality, and preventative treatment are all examples of these.

Keywords: Tubectomy/Female Sterilization; Menorrhagia; Hysterectomies; Total Abdominal Hysterectomy with Bilateral Salphingo-oophorectomy

Bibliography

1. “Abdominal hysterectomy”. Mayo Clinic (2021).
2. Cullins V. “Sterilization: Long-Term Issues”. Global Library of Women's Medicine (2009).
3. “Long-Term Side Effects of Tubal Ligation” (2022).
4. Shekhar C., et al. “Prevalence, sociodemographic determinants and self-reported reasons for hysterectomy in India”. Reproductive Health1 (2019): 1-16.
5. Sarrel PM., et al. “Hormone replacement therapy in young women with surgical primary ovarian insufficiency”. Fertility and Sterility7 (2016): 1580.
6. Desai S., et al. “Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India”. Health Policy Plan1 (2017): 68.
7. Singh H., et al. “Comparative evaluation of abdominal hysterectomy by ligasure and conventional method”. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12 (2017): 5587.
8. Singh A and Govil D. “Hysterectomy in India: Spatial and multilevel analysis”. Women’s Heal (2021): 17.
9. Faubion SS., et al. “Long-term health consequences of premature or early menopause and considerations for management”. Climacteric 4 (2015): 483-491.

Citation: Lakshmi P and K Sureshm. “Avoid - Hysterectomy - A Long Term Consequence of Tubal Ligation in Young Women". Acta Scientific Clinical Case Reports 3.3 (2022): 04-09.

Copyright: © 2022 Lakshmi P and K Suresh. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.