Advances in Contraception

, Volume 7, Issue 4, pp 371–377 | Cite as

Assessment of luteal function after surgical tubal sterilization

  • J. Garza-Flores
  • L. Vázquez-Estrada
  • A. Reyes
  • A. Valero
  • A. Morales Del Olmo
  • V. M. Alba
  • C. Bonilla
Article

Abstract

To evaluate ovarian luteal function after tubal occlusion, a group of women who underwent Pomeroy sterilization were studied. A prospective group I (n=16) were followed for one year and scheduled for blood sampling every other day during their luteal phase before surgical procedure and at 3 and 12 months thereafter. Group II (n=15) included women who were studied during their luteal phase at 1 or 5 years post-surgery.

Mid-luteal progesterone and estradiol serum levels were calculated by estimating the average of at least 3 values of serum samples obtained in days 20–25 of a menstrual cycle.

The data suggest that no major changes occur in ovarian function after surgical tubal occlusion, as assessed by the mid-luteal hormone serum levels, and underscore the safety of this procedure.

Keywords

Serum Level Progesterone Serum Sample Estradiol Menstrual Cycle 

Resumé

Pour permettre d'évaluer la fonction lutéale ovarienne après l'occlusion des trompes, on a étudié un groupe de femmes qui avaient subi l'intervention de Pomeroy. Un groupe de prospection I (n=16) a été suivi pendant un an. Des échantillons sanguins ont été prélevés tous les deux jours pendant la phase lutéale avant l'intervention et par la suite après 3 et 12 mois. Le groupe II (n=15) comprend des femmes qui ont été suivies pendant leur phase lutéale 1 ou 5 ans après l'intervention.

On a calculé les niveaux de progestérone et d'oestradiol au milieu de la phase lutéale en estimant la moyenne de 3 échantillons sériques au moins, obtenus pendant les jours 20 à 25 du cycle menstruel.

Les résultats laissent penser que la fonction ovarienne, déterminée en fonction des niveaux sériques hormonaux au milieu de la phase lutéale, n'avait subi aucun changement majeur après l'occlusion chirurgicale des trompes, ce qui met en évidence la sécurité de cette méthode.

Resumen

A fin de permitir evaluar la función lútea ovárica después de la oclusión tubaria, se estudió a un grupo de mujeres que habían sido sometidas a la intervención de Pomeroy. Un grupo de prospección I (n=16) fue seguido durante un año. Se tomaron muestras de sangre cada dos días durante la fase lútea antes de la intervención y luego a los 3 y 12 meses. El grupo II (n=15) comprendió a mujeres que fueron seguidas durante la fase lútea 1 ó 5 años después de la intervención.

Se calcularon los niveles de progesterona y de estradiol en la mitad de la fase lútea estimando la media de por lo menos 3 muestras séricas obtenidas en los días 20 a 25 del ciclo menstrual.

Los resultados hacen pensar que la función ovárica, determinada en función de los niveles séricos hormonales en la mitad de la fase lútea, no había sufrido ningún cambio importante después de la oclusión quirúrgica de las trompas, lo cual destaca la seguridad de este método.

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Copyright information

© Kluwer Academic Publishers 1991

Authors and Affiliations

  • J. Garza-Flores
    • 1
  • L. Vázquez-Estrada
    • 1
  • A. Reyes
    • 1
  • A. Valero
    • 1
  • A. Morales Del Olmo
    • 1
  • V. M. Alba
    • 2
  • C. Bonilla
    • 3
  1. 1.Department of Reproductive BiologyNational Institute of NutritionMexico CityMexico
  2. 2.Family Planning Clinic, General Hospital of VeracruzMinistry of HealthVeracruzMexico
  3. 3.Family Planning Head OfficeMinistry of Public Health and Social AssistanceSan SalvadorEl Salvador

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