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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


21 thoughts on “Post Tubal Ligation Syndrome Symptoms”

  1. Ashley says:

    Will Cigna Insurance cover the cost of a tubal reversal or would I still have to pay out of pocket?

    1. Dr. Monteith says:


      Health insurance will not pay for tubal reversal surgery.

      We should be able to help you. We can reverse most tubal ligation procedures.

      You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      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

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

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