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Post Tubal Ligation Syndrome Symptoms

Post Tubal Ligation Symptoms
What are the symptoms of PTLS?

Post Tubal Ligation Syndrome is a syndrome of symptoms reported by some women after having a tubal ligation procedure. Post Tubal Ligation Syndrome is also referred to as PTLS.

Tubal ligation is often listed as the cause of this syndrome reported by some after getting their tubes tied. A list of Post Tubal Ligation Syndrome symptoms can be quite extensive.

Women who experience Post Tubal Ligation Syndrome symptoms report symptoms which range from mild to severe and these symptoms can be extensive.

What Is Post Tubal Ligation Syndrome?

If a woman does notice symptoms after tubal ligation most of the commonly reported symptoms are limited to the pelvis and involve changes in the menstrual cycle or pelvic discomfort.

PTLS symptoms are more wide-spread and involve other areas of the body not commonly associated with female reproductive organs.

Women with Post Tubal Ligation Syndrome symptoms often report extensive symptoms involving many different areas of the body. These symptoms can include migraines, joint pains, hair and nail changes, skin changes, abdominal pain, and many other symptoms.

Post Tubal Ligation Syndrome: What are the symptoms?

Although most women will not experience any symptoms after a tubal ligation some women will report tubal ligation side effects. The most common side effects attributed to tubal ligation are isolated to the uterus and pelvis.

The more serious, extensive, and systemic tubal ligation problems are often classified as Post Tubal Ligation Syndrome.

There are many attributed Post Tubal Ligation Syndrome symptoms. The most predominant symptoms are:

  • Heavier periods
  • Painful periods
  • Hot flashes
  • Irritability
  • Mood swings
  • Insomnia
  • Decreased sex drive
  • Anxiety
  • Depression
  • Memory changes
  • Headaches
  • Brittle nails
  • Hair loss
  • Feelings of dread/apprehension
  • Itchy skin
  • Joint pains
  • Vertigo/dizziness

The symptoms above are the primary symptoms associated with Post Tubal Ligation Syndrome but there are many more attributable symptoms.

What causes Post Tubal Ligation Syndrome?

PTLS is thought to occur as a direct result of having a tubal ligation. The actual cause of PTLS is unknown. Some have speculated tubal ligation causes disruption of the blood supply underneath the tube and this causes dysfunction of the ovary and alterations in ovarian hormone production. Most current research suggests tubal ligation has no adverse effect on ovarian hormone production.

The existence of PTLS is controversial and many health care providers are not supportive of the diagnosis. It is often believed women who are claiming to have PTLS may have secondary gain (other intentions).

Post Tubal Ligation Syndrome: What is the Treatment?

We do have patients who have tubal reversal surgery and report many of the above symptoms. Many of this women will have normal findings at the time of surgery but over 90% will report improvement after tubal reversal. Approximately 10% will report no change in their symptoms and a diagnosis of another medical condition will be the cause for their symptoms.

For many of our patients we are uncertain why tubal reversal seems to help but it is hard to ignore their reports of improvement.

For more detailed information about Post Tubal Ligation Syndrome visit: For Physicians

 


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6 Comments

Mary Reply

What do you do when you have signs of PTLS but had a bilateral Salpingectomy so it can’t be reversed ? I’m only 30


    Dr. Monteith Reply

    If they removed both of your tubes entirely then we cannot help you. If they did a partial salpingectomy (removed a small piece…just like a typical tubal ligation) then we may be able to help you.


Brandy Reply

I didn’t know this was a thing, I honestly thought I was going through early menopause, I’m 37. Endometriosis runs in my family and all the women on my moms side had to have hysterectomies in their early 30s, I’m the only one who had their tubes tied though. I have ALL of these symptoms plus more! My periods are extremely painful and extremely heavy and last for 10-11 days, the first few days I can’t even get out of bed. I also have to buy Ultra plus tampons and wear overnight pads for the first 3 days. The hot flashes and night sweats are ridiculous and embarrassing. I have to sleep with 3 fans and even that is not enough because I will wake up soaking wet! I had my tubes tied in 2010 after I had my son. It was soon after that I started experiencing symptoms. It’s frustrating because my doctors wont listen and say that the symptoms I’m experiencing are not related to my tubal ligation. I’ve talked to several women and 90% of them have said they have the same problems I do. I’ve actually talked a few women out of getting theirs tied. I should have done more research before just jumping the gun and getting it done. I should have made my husband get snipped. I wish I could get it reversed.


    Dr. Monteith Reply

    Brandy
    We have many patients who have tubal ligation symptoms and who come to us for tubal reversal. Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you.

    Most of our patients do report improvement in their symptoms after reversal surgery at our center.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal


Elli Reply

I am SO relieved to read and get information on PTLS! I thought that I was going crazy and the only one! My Gynochologist ignores me and says that it is “normal”, but it is NOT! I know my body and this is excruciating. I got my tubes tied in 2003 and it just keeps getting worse. Thank you for the info!!


    Dr. Monteith Reply

    Elli
    We have many patients who have tubal ligation symptoms and who come to us for tubal reversal. Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you.

    Most of our patients do report improvement in their symptoms after reversal surgery at our center.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal