LAQUEADURA TUBÁRIA COMO CAUSA DE INFERTILIDADE – AVALIAÇÃO EM UM HOSPITAL UNIVERSITÁRIO

Introduction: The tubal sterilization is a surgical and definitive method to prevent pregnancy, used by a quarter of Brazilian women. However, in infertility clinics there are some patients requesting the sterilization reversal for different reasons. Objective: To evaluate the prevalence of medical appointments for this cause, the social-demographic characteristics of these women and the reason why they asked for the reversal. Methods: A retrospective study analyzing the medical records of the women who had an appointment in the last five years at the contraception/infertility clinic at Hospital de Clinicas. Results : 2767 medical records were analyzed. In 237 cases (8.5%) the appointment reason was infertility and in 30 of them (12.66%) was a request for a sterilization reversal. The women´s average was 33.8 years, while, their partner´s was 34 years. 90% of the women had children in previous relationships. 56% of them were brought up by her and the others were divided between shared care, just by the ex-husband or by patient´s relatives. 30.4% of the women’s partners had children in others relationships. In all cases, they were brought up by their ex-partners. The main reasons for reversal were their regret and the desire of having more children (96.1%) and the partner´s desire of having a child (76.9%). Conclusion: Considering the possibilities of changes in the relationships and the future regretting, it is suggested that in women with at least 30 years, the contraceptive orientations should be directed for the reversible methods.