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The effect of bilateral tubal ligation on menopause age and symptoms

机译:双侧输卵管结扎对更年期年龄和症状的影响

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Background/Aim: Bilateral tubal ligation (BTL) is an effective and safe method for family planning; however, the blood supply of the ovaries may be affected during the procedure. There is suspicion that women may enter menopause early once BTL is performed. Although some studies in the literature have evaluated bilateral tubal ligation’s effect on ovarian reserves and function, studies investigating its effect on menopause age and symptoms are lacking. The aim of this study was to investigate the effect of bilateral tubal ligation on menopause age and symptoms, eliminate women's hesitations, and guide the clinicians. Methods: Two hundred postmenopausal women with no comorbidities which may affect the ovarian reserve and menopause symptom severity were included in this case-control study. One hundred women who had undergone bilateral tubal ligation constituted the bilateral tubal ligation (BTL) group, while 100 women who had not undergone any surgery, including bilateral tubal ligation, and who had not received medical treatment and naturally gone through menopause, constituted the control group. Data of all patients regarding menopause age, obstetric history, and educational status were collected. The ‘Menopause Rating Scale’ was applied to the groups to assess the severity of menopause symptoms. Bilateral tubal ligation age was recorded for the study group. The results were compared using statistical methods. Results: The mean menopause ages of the bilateral tubal ligation and control groups were 48.30 (3.5) and 47.67 (4.3) years, respectively (P=0.250). The two groups were similar in terms of somatic (P=0.744), psychological (P=0.930), and urogenital (P=0.477) menopause symptoms. The mean age at which bilateral tubal ligation was performed in the bilateral tubal ligation group was 37.33 (4.6) years. Conclusion: The bilateral tubal ligation procedure did not affect menopause age or the severity of menopause symptoms.
机译:背景/目的:双侧输卵管连接(BTL)是一种有效且安全的计划生育方法;然而,卵巢的血液供应可能在程序期间受到影响。怀疑,妇女在进行BTL时,妇女可能会提前进入更年期。虽然文献中的一些研究已经评估了双侧输卵管结扎对卵巢储备的影响,但研究其对更年期年龄和症状影响的研究缺乏。本研究的目的是调查双侧输卵管结扎对更年期年龄和症状的影响,消除妇女的犹豫,引导临床医生。方法:在本案例对照研究中,包括可能影响卵巢储备和更年期症状严重程度的二百百年绝育妇女。经历双侧输卵管结扎的一百个妇女构成了双侧输卵管连接(BTL)组,而100名没有经历任何手术的妇女,包括双边输卵管连接,并且没有获得医疗和自然通过更年期的手术,构成了控制权团体。收集了关于更年期年龄,产科历史和教育地位的所有患者的数据。 “更年期评定量表”被应用于群体以评估更年期症状的严重程度。研究组的双侧输卵管结扎年龄被记录。使用统计方法进行比较结果。结果:双侧输卵管连接和对照组的平均绝经年龄分别为48.30(3.5)和47.67(4.3)多年(P = 0.250)。两组在体细胞(P = 0.744)方面类似,心理(P = 0.930)和泌尿生殖器(P = 0.477)更年期症状。双侧输卵管结扎组在双侧输卵管连接组中进行平均年龄为37.33(4.6)岁。结论:双侧输卵管连接程序不会影响更年期年龄或更年期症状的严重程度。

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