Menstrual, psychosexual, psychological and somatic sequelae following postpartum sterilisation.

This study was designed to investigate the menstrual psychosexual psychological and somatic sequelae in a group of women who may be more prone to express regret following sterilisation. They were at a younger age and all underwent postpartum sterilisation. The follow-up was conducted by a questionnaire between 6 months and 5 years following the procedure. Data were available from 242 patients with 76.8% before age 30 and 23.2% age 30 or older. Of all the patients 21.9% regretted their choice of sterilisation. About one-third had various menstrual cycle disturbances. In general patients rated their sex life more enjoyable in many aspects. The two most common psychological symptoms were irritability nervousness and depression. The common somatic symptoms were pelvic/ abdominal pain backache and tiredness. A complete assessment of the patient’s postoperative condition including menstrual cycle history sexual history psychological and somatic complaints if any is warranted during presterilisation counselling in addition to a routine informed consent. This is especially important for those patients who are known to be more prone to express regret following the procedure. (authors)