For more information

Some books to check out.: Side effects of Tubal Ligation Sterilization
Early menopause after tubal ligations or hysterectomy : Does tube tying cause early menopause?
Post-tubal sterilization syndrome.: Medical artical
Changes in ovarian function after tubal sterilization: Medical artical
Laparoscopic Bowel and Vascular Complications: Should the Veress Needle: Medical artical
Pelvic venous changes after tubal sterilization: Medical artical
A comprehensive review of female sterilisation--tubal occlusion methods.: Medical artical
Findings in 200 consecutive asymptomatic women, having a laparoscopic: Medical artical
Information to women applying for sterilization: Medical artical
ubal cyst following tubal sterilization: a delayed complication.: Medical artical
Female sterilization failure after bipolar electrocoagulation: a 6 year: Medical artical
If There Are No Side Effects, This Must Be Honduras : Example of information given to women about side effects.
Mayo explains short and long term risks.: Medical site
Avoiding Electrosurgical Injury During Laparoscopy:: Electrosurgical Risk information
Endoscopic Electrode Safety: Surgery risk information
What is Minimally Invasive Surgery ? : Surgery information
Electrifying Surgery Risks.: Surgery risk information
biomed lap: Book

Post Tubal Syndrome (PTS) Symptom List

PTS is an an iatrogenesis condition meaning "doctor-caused" or "doctor produced". Many women suffer PTS after having a tubal ligation.

The following is a list of symptoms that are associated with post tubal syndrome (PTS).

PTS is often the result of a rapid decline in estrogen levels due from the blood supply being damaged to the ovaries during the TL surgery. Depending on the damage to the veins and capillaries, blood volume to the ovaries may slightly decrease or can be eliminated completely (isolated ovarian syndrome, common with hysterectomy operations). Many of the symptoms of PTS are associated with having an estrogen/progesterone imbalance.

Other symptoms, such has heavy painful periods may be caused by a hormonal imbalance, could be caused by adenomyosis (bought on by uterus mussel and tissue being damaged, effected by the TL surgery impairing the blood supply to areas of that organ/mussel) or a combination of both.

Other theories of PST and the hormonal imbalance that results after a TL is that "target" or "receptor" cells that are important in the relay of hormonal messages are damaged, destroyed, and or removed during the TL surgery. It is derivable that these target or receptor cells are located within the fallopian tube.

With this in mind, it's possible for a woman to have both her ovaries still functioning to some degree (if blood supply was not damaged), have no major problems with her uterus (again if blood supply was not damaged to that organ), and still be experiencing a PTS in the from of a hormonal imbalance caused by change in her hormonal message relay system.


1. Eptopic pregnancy or pregnancy (welll known risk of tubals)

1a.Hot flashes, flushes, night sweats and/or cold flashes, clammy feeling, chills

2. Bouts of rapid heart beat

3. Irritability

4. Mood swings, sudden tears

5. Trouble sleeping through the night (with or without night sweats)

6. Irregular periods; shorter, lighter periods; heavier periods, flooding; phantom periods, shorter cycles, longer cycles

7. Loss of libido (see note)

8. Dry vagina (see note)

8a.Itchy vagina-at time raw like, can radiated from whole area, with absence of yeast infections. (see note)

8b.Color change in vaginal area. (color gets darker - purple/black)

9. Crashing fatigue

10.Anxiety, feeling ill at ease

11.Feelings of dread, apprehension, doom (see note)

12.Difficulty concentrating, disorientation, mental confusion

13.Disturbing memory lapses

14.Incontinence, especially upon sneezing, laughing; urge incontinence (see note)

14a.Prolapse of uterus do to rapid decress in estrogen levels.

15.Itchy, crawly skin (see note)

16.Aching, sore joints, muscles and tendons (see note)

17.Increased tension in muscles

18.Breast tenderness

18a. Decress in breast mass

19.Headache change: increase or decrease

20.Gastrointestinal distress, indigestion, flatulence, gas pain, nausea

21.Sudden bouts of bloat

22.Depression (see note)

23.Exacerbation of existing conditions

24.Increase in allergies

25.Weight gain (see note)

26.Hair loss or thinning, head, pubic, or whole body; increase in facial hair

27.Dizziness, light-headedness, episodes of loss of balance

28.Changes in body odor

29.Electric "shock" or "stabbing" sensation under the skin.

30.Tingling in the extremities, (see note)

31.Gum problems, increased bleeding

32.Burning tongue, burning roof of mouth, bad taste in mouth, change in breath odor (see notes)

33.Osteoporosis (after several years)

34.Changes in fingernails: softer, crack or break easier


Symptom 1a (flashes) Hot flashes are due to the hypothalamic response to declining ovarian estrogen production. The declining estrogen state induces hypophysiotropic neurons in the arcuate nucleas of the hypothalamus to release gonadotropin-releasing hormone (GnRH) in a pulsatile fashion, which in turn stimulates release of luteinizing hormone (LH). Extremely high pulses of LH occur during the period of declining estrogen production. The LH has vasodilatory effects, which leads to flushing.

Symptom 7 (loss of libido) For some women the loss is so great that they actually find sex repulsive, in much the same way as they felt before puberty. What hormones give, loss of hormones can take away.

Symptom 8 (dry vagina) results in painful intercourse

Symptom 8a (Itchy and or raw vaninal area) A normal vaginal pH level is around 4.5. A vaginal pH of 6.0 to 7.5 -- in the absence of a vaginal infection (yeast infection)-- indicates low blood estrogen levels and signals that the woman is menopausal. "The vagina (and whole area) becomes more acidic."

Symptom 11 (doom thoughts) includes thoughts of death, picturing one's own death. Feelings of complete dispare.

Symptom 14 (incontinence) reflects a general loss of smooth muscle tone

Symptom 15 (itchy, crawly skin) feeling of ants crawling under the skin, not just dry itchy skin

Symptom 16 (aching sore joints) may include such problems as carpal tunnel syndrome

Symptom 22 (depression) different from other depression, the inability to cope is overwhelming. There is a feeling of loss of self. Hormone therapy ameliorates the depression dramatically.

Symptom 25 (weight gain) often around the waist and thighs, resulting in 'the disappearing waistline'

Symptom 29 (shock sensation) "the feeling of a rubber band snapping in the layer of tissue between skin and muscle. It may be a precursor to a hot flash"

Symptom 30 (tingling in extremities) can also be a symptom of B-12 deficiency, diabetes, alterations in the flexibility of blood vessels, or a depletion of potassium or calcium

Symptom 32 (Burning mouth syndrome)

Tubal Links

Tubal Home Page: Tubal Page Main menu -
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