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

Re: Post Tubal Ligation Syndrome

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 31 Aug 2000 06:05:00 -0500 (CDT)

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At Thu, 31 Aug 2000, anonymous@obgyn.net wrote: >
>At Wed, 30 Aug 2000, Lynn D. Montgomery, MD wrote:
>>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.
>
>There are also Studies which do show a correlation

Would you please give us a reference to those studies so that we can read and evaluate them and become educated.

- whom are we to >believe?

This is a problem when there are indieed conflicting opinions. That is why as medical students we spend one course on biostatistics so that we can begin to understand some of the things in the literature. That is why nearly all Residency programs have a Journal club that meets at least once a month to present articles from the literature and to discuss these articles and figure out which are good and which are worthless.

Myself and other women are the ones experiencing these problems >from the time we had our Tubal Ligations - I think it is far easier for
>us to believe that there *is* such a thing as PTLS.
>
>>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
>
>How can you explain the fact that nearly *everything* about my menstrual
>cycle changed from the day I had my Tubal Ligation? Was it just
>coincidence?

No, the things that brought it about occurred earlier, but were just masked by either pregnancy or the oral contraceptives.

>
>How can you explain the fact that *many* woman DO experience problems
>such as mine, problems which can be traced *directly* back to their
>Tubal Ligation?

The same reasons as above.

In just the short time I have been looking into this on >the Internet, I have come across *many* women who have experienced such
>problems.

And the millions who don't have these problems and the ones who do have them and haven't had a tubal, don't post these problems on the internet so you don't see them.

>
>But then, I suppose it is all in our head............
>

No, the problems are real, just not caused by the tubal.

>BTW - exactly how long did it take the Medical Community to accept the
>existence of Chronic Fatigue Syndrome?

Long enough to discover the virus in the small percentage of patients with those symptoms who really have CFS.

RDB

-- R.Daniel Braun, MD FACOG FOG

**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 emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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