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Assessment of luteal function after surgical tubal sterilization

  • Published:
Advances in Contraception

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.

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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References

  1. Radwanska, E., Berger, G. and Hammond, J. (1979). Luteal deficiency among women with normal menstrual cycles, requesting reversal of tubal sterilization.Obstet. Gynecol.,56, 189–192

    Google Scholar 

  2. Radwanska, E., Headley, S.K. and Dmowsky, P. (1982). Evaluation of ovarian function after tubal sterilization.J. Reprod. Med.,27 376–384

    CAS  PubMed  Google Scholar 

  3. Muldoon, M.J. (1972). Gynecologic illness after sterilization.Br. Med. J.,1, 84–90

    CAS  PubMed  Google Scholar 

  4. Bhatt, R., Pacuary, S., Jariwala, K. and Chauhuah, L.N. (1981). A two years follow-up study of women sterilized in India.Contraception,23, 603–619

    CAS  PubMed  Google Scholar 

  5. Neil, J.R., Hammond, G.T. and Noble, A.D. (1975). Late complications of sterilization by laparoscopy and tubal ligation.Lancet,2, 699–700

    CAS  PubMed  Google Scholar 

  6. Donnez, J., Waters, M. and Thoms, K. (1981). Luteal function after tubal sterilization.Obstet. Gynecol.,57, 65–68

    CAS  PubMed  Google Scholar 

  7. Hargrove, J. and Abraham, G. (1981). Endocrine profile of patients with post-tubal ligation syndrome.J. Reprod. Med.,26, 359–362

    CAS  PubMed  Google Scholar 

  8. DeStefano, F., Huezo, C.M., Petersen, H.B. et al. (1983). Menstrual changes after tubal sterilization.Obstet. Gynecol.,62, 673–681.

    Google Scholar 

  9. Corson, S., Levinson, C., Batzer, F. and Otis, C. (1981). Hormonal levels following sterilization and hysterectomy.J. Reprod. Med.,26, 363–370

    CAS  PubMed  Google Scholar 

  10. Hague, W., Maier, D., Schmidt, C. and Randolph, J. (1987). An evaluation of late luteal phase endometrium in women requesting reversal of tubal ligation.Obstet. Gynecol.,69, 926–928

    CAS  PubMed  Google Scholar 

  11. Rioux, J.E. (1977). Late complications of female sterilization: a review of the literature and a proposal for further research.J. Reprod. Med.,19, 329–340

    CAS  PubMed  Google Scholar 

  12. Rivera, R., Gaitán, J.R., Ruiz, R., Hurley, D. P., Arenas, M., Flores, C. and Hernández, A.B. (1989). Menstrual patterns and progesterone circulating levels following different procedures of tubal occlusion.Contraception,40, 157–169

    Article  CAS  PubMed  Google Scholar 

  13. Liberman, B.A., Belsey, E., Gordon, A.G., Wright, G.S., Letchwort, A.T., Noble, D. and Niven, P. (1977). Menstrual patterns after laparoscopic sterilization using springloaded clip.Br. J. Obstet. Gynecol.,85, 376–382

    Google Scholar 

  14. Meldrum, D.R. (1981). Microsurgical tubal reanastomosis, the role of splints.Obstet. Gynecol. 57, 613–619

    CAS  PubMed  Google Scholar 

  15. Rulin, M., Turner, J., Dunworth, R. and Thompson, D. (1985). Post-tubal sterilization syndrome, a misnomer.Am. J. Obstet. Gynecol.,151, 13–19

    CAS  PubMed  Google Scholar 

  16. Rubinstein, L.M., Lebherz, T.B. and Kleinkopf, V. (1976) Laparoscopic tubal sterilization: long-term post-operative follow-up.Contraception,13, 631–638

    Article  CAS  PubMed  Google Scholar 

  17. DeCristoforo, D., Zancanari, C. and Fiaccavento, S. (1982). Endometrial pathological changes after fallopian ring tubal ligation.Endoscopy,14, 139–140

    Google Scholar 

  18. Domenzain, E.M., González, M.A. and Terán, J. (1982). Minilaparotomy tubal sterilization: A comparison between normal and high risk patients.Obstet. Gynecol.,59, 199–201

    CAS  PubMed  Google Scholar 

  19. Díaz-Sánchez, V., Bonilla, C., Reyes, A., Valero, A. and Domenzain, M. (1987). Local anesthesia and minilaparotomy: a safe procedure for tubal occlusion in women with severe health problems.Contraception,36, 211–215

    PubMed  Google Scholar 

  20. World Health Organization, Special Programme of Research, Development and Research Training in Human Reproduction (1984)Matched Reagent Programme for Hormones in Reproductive Physiology. Method Manual, Geneva, WHO

    Google Scholar 

  21. ElMaghoub, S., ElShourbagy, M., ElZeniny, A. and ElTawil, A. (1984). Long-term luteal changes after tubal sterilization.Contraception,30, 125–134

    Google Scholar 

  22. Baggish, M.S., Lee, W.K., Miro, S.J., Dako, L. and Cohen, G. (1979). Complications of laparoscopic sterilization, comparison of two methods.Obstet. Gynecol.,54, 54–59

    CAS  PubMed  Google Scholar 

  23. Alvarez, F., Faundes, A., Brache, V., Tejada, A.S. and Segal, S. (1989). Prospective study of the pituitary-ovarian function after tubal sterilization by the Pomeroy or Uchida techniques.Fertil. Steril,51, 604–609

    CAS  PubMed  Google Scholar 

  24. Alvarez-Sánchez, F., Segal, J.S., Brache, V., Adejuwon, C., León, P. and Faundes, A. (1981). Pituitary-ovarian function after tubal ligation.Fertil. Steril. 36, 606–609

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Reproductive Biology, National Institute of Nutrition, Salvador Zubiran, Mexico City, Mexico

    J. Garza-Flores, L. Vázquez-Estrada, A. Reyes, A. Valero & A. Morales Del Olmo

  2. Family Planning Clinic, General Hospital of Veracruz, Ministry of Health, Veracruz, Mexico

    V. M. Alba

  3. Family Planning Head Office, Ministry of Public Health and Social Assistance, San Salvador, El Salvador

    C. Bonilla

Authors
  1. J. Garza-Flores
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  2. L. Vázquez-Estrada
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  3. A. Reyes
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  4. A. Valero
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  5. A. Morales Del Olmo
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  6. V. M. Alba
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  7. C. Bonilla
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Garza-Flores, J., Vázquez-Estrada, L., Reyes, A. et al. Assessment of luteal function after surgical tubal sterilization. Adv Contracept 7, 371–377 (1991). https://doi.org/10.1007/BF02340184

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  • DOI: https://doi.org/10.1007/BF02340184

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