WOMENS-HEALTH Messages for August, 1997: Re: Menstrual problems status post tubal ligation

Re: Menstrual problems status post tubal ligation

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 22 Aug 1997 08:14:49 -0500 (CDT)

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At Fri, 22 Aug 1997, Tracy wrote: >
>I'm a 25-year-old gravida 2 para 2. I had a tubal ligation in April,
>1996.
>
>Everything about my periods has changed since then. The only symptom I
>suffered prior to the tubal was horrendous cramps. Thank goodness I no
>longer have those, but now I have a plethora of other afflictions. I
>get raging headaches. My face breaks out so badly that I'm embarrassed
>to go into public. I bleed much heavier and longer. Worst of all, I
>have terrible mood swings.
>
>I realize that all these things are common to PMS, but it puzzles me
>that my personal pattern changed so drastically after my tubal. I find
>my new symptoms very hard to deal with physically as well as
>emotionally.
>
>Is this something that happens a lot?
>
>What can I do?
>
>--
>TCM
>Asheville, North Carolina
>

Dear TCM, Cycle changes have been noted in peolpe after tubal ligation, but in a study done years ago the was no difference in two groups with respect to changes in their bleeding patterns. These two groups were #1 tubal ligation and #2 no tubal ligation! So where does that leave us?

Next, I agree with your diagnosis that all of your other symptoms are related to hormone changes and *PMS*. (I hate that term *PMS* because I feel it labels people and is somewhat condescending and derogatory but I didn't name it.)

I usually recommend the folowing: aerobic exercise of some sort for 30-40 minutes 3-4 times a week, no caffeine, a diet higher in carbohydrates and lower in protein, fat, salt, sugar, and in some people B6 100mg twice a day (every day) helps about 50% of my patients (although there are articles stating that it is ineffective).

On the bright, no more cramps '-)

Good luck.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/advisors/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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