WOMENS-HEALTH Messages for August, 2000: Re: Post Tubal Ligation Syndrome

Re: Post Tubal Ligation Syndrome

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 30 Aug 2000 22:55:59 -0500 (CDT)

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In reply to: Martha2Mary: "Post Tubal Ligation Syndrome"
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Reply: anonymous@obgyn.net: "Re: Post Tubal Ligation Syndrome"

At Wed, 30 Aug 2000, Martha2Mary wrote: >
>I chose to have a Tubal Ligation done 5 years ago, about 10 months after
>the birth of my 5th and 6th children (twins). Prior to the Tubal, I was
>using Condoms as Contraception for the two years prior, my period was
>regular (28 days), I did not have much in the way of cramping, or any
>other noticeable problems with my Menstrual Cycle. From the *first*
>Cycle after my Tubal, until the present, my periods now come every 21
>days or thereabouts, they last only 3 days, they are painful, my breasts
>are extremely tender for most of my cycle, and I also have some PMS. I
>have always believed that the Tubal Ligation was responsible for these
>changes, due to the fact that they occurred immediately following the
>Tubal, but the Doctors I spoke to did not acknowledge that.
>
>In the past few years I have also experienced problems with Depression
>and periods of time, (usually a couple of months) where I feel extremely
>exhausted - almost like the blood has been drained out of my body. I
>had the usual tests done - thyroid as well as others, but nothing showed
>up as being abnormal. After finding out about the 'possibility' of the
>existence of Post Tubal Ligation Syndrome, I now believe that this may
>be my problem. Does anyone have specific information on the Symptoms of
>PTLS? The one website where it said they offered such information was
>one where you had to pay to Register before you could access that
>information (http://www.tubal.org)!
>
>FYI, I was 32 at the time of my Tubal Ligation, and am now 37.
>
>For any Doctor's here who do not believe that there is such a thing, I
>would like to ask you this Question:
>
>Why wont you listen to Women?

I am very sorry for your problems and I think that they can be remedied individially with the right people. I make my living listening to women. In addition, I maintain my professional status by garnering reputable scientific evidence from well designed, controlled studies. Several of these studies have refuted the post tubal ligation syndrome. Further, there has not been any correlation between tubal ligation and any of the somatic complaints commonly put forth. This makes perfectly good sense. The fallopian tube is simply a conduit. There are no cells contained therein that secrete hormones, etc, only cells that are responsible for carrying the egg from the ovary to the womb. Additionally, in most tubal ligation procedures, only a small portion of the tube is removed-why would this then result in all these problems. Further, how can you explain all the millions of women that have tubals and don't have these problems. Further, how can you explain all the women that have total hysterectomies, including the fallopian tubes, yet have no symptoms... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Bartholin Cyst"
Previous message: Lynn D. Montgomery, MD: "Re: depo provera for period problems and lupus antiphospholipid antibody"
In reply to: Martha2Mary: "Post Tubal Ligation Syndrome"
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