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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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Elizabeth Laughlin Reply

I had my son April 6, 2012 and the day he was born I had my tubal ligation 3 years later I was diagnosed with endometriosis and had surgery then a few months after that I was diagnosed with depression, anxiety, and insomnia but between the time my son was born and being diagnosed I knew something wasn’t right.

Sierra Reply

I believe I may have PTLS. I had tubal ligation in 2014 when I was only 21 4 weeks after having my son. I have chills frequently, hot flashes as if I’m entering menopause early, my periods bring me to tears from amount of pain (as in sometimes I can’t even get out of bed and miss work because of it), very heavy periods, my acne is horrible ever since which confirms that my hormones are crazy out of balance (doctors have even tried placing me on birth control in hopes to solve the hormonal issue), my pelvic bones are almost always just uncomfortable, and my depression increased. I am almost always tired and my memory ever since has been absolutely terrible. I like to joke I’m getting old but now after looking further into it I’m starting to see that this may be my answer. Sadly, I don’t have the money to do anything about it. Is this something insurance could cover? Does reversing tubal ligation really bring relief? I am so sick and tired of being miserable just because I’m a woman that fell into tubal ligation.

    Dr. Monteith Reply

    We should be able to help you. We have many patients who come for tubal reversal because of abnormal symptoms experienced after tubal ligation.
    Most patients report improvement after tubal reversal surgery.

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

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