Does interval laparoscopic sterilisation influence the risk of lower genital tract infections and menstrual abnormalities?

South African Journal of Obstetrics and Gynaecology

M Panday¹  G Kistan²  J S Bagratee² 

[1] Department of Family Planning, King Dinuzulu Hospital Complex, Durban, KwaZulu-Natal, South Africa;Department of Obstetrics and Gynaecology, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal,Durban, South Africa

关键词: STI;    HIV;    menstrual patterns post sterilisation;   

DOI  :  10.7196/sajog.1115

学科分类：农业科学（综合）

来源: South African Medical Association

【 摘 要 】

Background.Tubal sterilisation is a safe, accessible and effective contraceptive method. There is a paucity of data regarding the risk of genital tract infections and menstrual abnormalities post sterilisation in Durban, South Africa. Objectives . To evaluate the risk of lower genital tract infections (LGTIs) and menstrual abnormalities following interval laparoscopic sterilisation. Methods . A prospective cohort study of 225 women undergoing sterilisation between August 2012 and April 2013, with follow-up 1 year post procedure, was conducted at King Dinuzulu Hospital, Durban. Results.Following sterilisation, LGTIs were increased only in women with a history of infection pre sterilisation (odds ratio 6.7; 95% CI 2.2 - 20.9;p =0.002). There was no significant risk of HIV acquisition post sterilisation. In women who had not used contraception or used barrier methods pre sterilisation, we found no significant change in menstrual patterns post sterilisation. There was an increase in menstrual bleeding and dysmenorrhoea post sterilisation among previous combined oral contraceptive users. Among women with amenorrhoea on injectable contraception pre sterilisation, 73.8% reported return to regular menses and 26.2% reported abnormal uterine bleeding post sterilisation. Among injectable contraceptive users with regular menses pre sterilisation, 71.4% reported no change in menses post sterilisation and 28.6% reported abnormal uterine bleeding post sterilisation. Conclusion . In women undergoing interval tubal sterilisation, the risk of LGTIs was only increased in those women with a history. Menstrual abnormalities post sterilisation were more likely in women who used steroid contraception prior to sterilisation.

【 授权许可】

CC BY