Sana Ujala, Ammad Masood, Najma Shaheen.
Comparison of the frequency of menorrhagia in post-tubal ligation women versus normal (non-tubal ligation) women.
Rawal Med J Jan ;45(4):822-5.

Objective: To find out the frequency of menorrhagia after tubal ligation in Bahawalpur, Pakistan. Methodology: We included 60 women with ligated and non-ligated fallopian tubes aged between 20 and 40 years in this study. Those with hypertension, diabetes, kidney failure, heart failure, and pelvic disease were excluded. The ligated group included women who were ligated for >=1 year, while the non-ligated group included women who used condoms. Outcome variable was menorrhagia (presence/absence). Results: The average age of the women in the tubal ligation group was 29.77+-5.16 years, while the average age of the women in the non-tubal ligation group was 28.87+-4.94 years. The average parity in the tubal ligation group was 3.30+-0.70, and that in the non-tubal ligation group was 3.33+-0.66. The average BMI of the tubal ligation group was 29.33+-2.19 kg/m2, and in non-tubal ligation group was 28.97+-2.41 kg/m2. The incidence of menorrhagia in women with tubal ligation was 20 (66.67%), while in women without tubal ligation was 07 (23.33%), (p=0.001 and the relative risk was 2,86), which were significant. There was a positive correlation between tubal ligation and menorrhagia. Conclusion: Menorrhagia occurred more frequently in women with tubal ligation than in women without tubal ligation.

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