A prospective cohort study of menstrual symptoms and morbidity over 15 years following laparoscopic Filshie clip sterilisation

Maturitas
I Z MacKenzieJohn Guillebaud

Abstract

To observe the incidence of menstrual symptoms and relevant surgery after sterilisation. 1101 women sterilised with Filshie clips between 1983 and 2002 were assessed prospectively comparing menstrual symptomatology documented immediately before surgery and 5-14 years later by questionnaire. Prevalence of menstrual dysfunction and subsequent surgery related to pre-operative menstrual symptoms and contraception. After excluding 232 (24%) of the 968 eligible women sent questionnaires whose address had changed, 573 of the remaining 735 women (78%) completed the questionnaire, 223 5-6 years after sterilisation, 175 after 7-9 years and 175 after 10-15 years; the respondents were demographically representative of the total population. Heavy periods increased from 9% before to 35% (P<0.0001) after sterilisation, painful periods from 2% to 21% (P<0.0001) and 6% had undergone hysterectomy or endometrial ablation. These findings were not influenced by the pre-sterilisation method of contraception but were inversely related to advancing age (P<0.0002). The lowest rates of menstrual symptoms were reported 10-15 years after sterilisation. Menstrual symptoms increased following Filshie clip sterilisation irrespective of pre-sterilisation symp...Continue Reading

References

Nov 1, 1976·Southern Medical Journal·G Chamberlain, J Foulkes
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Apr 1, 1990·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J J Kjer, L Knudsen
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Mar 21, 2002·American Journal of Obstetrics and Gynecology·Susan GarwoodJohn Guillebaud
Apr 9, 2002·Fertility and Sterility·Bernard L HarlowRobert L Barbieri
Jan 22, 2009·Obstetrics and Gynecology·I Z MacKenzieJohn Guillebaud

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Citations

Oct 17, 2012·Oman Medical Journal·Sanam Moradan, Raheb Gorbani
Dec 17, 2014·Journal of Minimally Invasive Gynecology·Myrsini Ouzounelli, Nancy L Reaven
Oct 30, 2014·São Paulo Medical Journal = Revista Paulista De Medicina·Daniel Spadoto DiasWaldir Pereira Modotti

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