--- title: Does tubal ligation affect periods and premenstrual symptoms? description: Yes. After the surgery, premenstrual symptoms increased significantly, along with heavier periods and more pain during periods. Women under 35 were more likel url: https://niyora.com/research/papers/clinical-and-psychological-repercussions-of-videolaparoscopic-tubal-ligation-2014/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Does tubal ligation affect periods and premenstrual symptoms? Cohort study, 2014 # Does tubal ligation affect periods and premenstrual symptoms? Yes. After the surgery, premenstrual symptoms increased significantly, along with heavier periods and more pain during periods. Women under 35 were more likely to experience these changes. Early or limited evidence 130 women aged 21-46 who had tubal ligation ## What they did Researchers surveyed 130 women before and after they had a tubal ligation procedure (a permanent form of contraception) that was performed between 1999 and 2007. Women answered questions about their periods, premenstrual symptoms, period pain, and sexual satisfaction. ## What they found After surgery, premenstrual symptoms increased significantly (P < 0.001). Bleeding also increased (P = 0.001), period pain increased (P = 0.019), and non-period pelvic pain increased (P = 0.001). Sexual intercourse frequency decreased (P = 0.001) and libido decreased (P = 0.001). Women aged 35 or younger were more likely to develop menstrual problems. The bipolar electrocoagulation technique caused more pronounced changes than the tubal ring technique. ## What it means for you Tubal ligation may worsen premenstrual symptoms and periods, especially in younger women. A major limitation is that women were asked to remember their symptoms from before surgery, which may not be accurate. 130 Women studied P < 0.001 Premenstrual symptoms increased significantly ≤35 years Age at higher risk for menstrual changes ## About the study Original title Clinical and psychological repercussions of videolaparoscopic tubal ligation: observational, single cohort, retrospective study Authors Dias DS, Dias R, Nahás-Neto J et al. Journal Sao Paulo medical journal = Revista paulista de medicina Year 2014 Study design Cohort study Participants 130 What was tested Videolaparoscopic tubal ligation Open access Yes Read the paper [doi.org/10.1590/1516-3180-2014-1326687](https://doi.org/10.1590/1516-3180-2014-1326687) Original abstract Context and objective: Tubal ligation is one of the most commonly used contraceptive methods worldwide. Since the controversy over the potential effects of tubal sterilization still continues, this study aimed to evaluate the clinical and psychological repercussions of videolaparoscopic tubal ligation. Design and setting: Observational, single cohort, retrospective study, conducted in a tertiary public hospital. Methods: A questionnaire was applied to 130 women aged 21-46 years who underwent videolaparoscopic tubal ligation by means of tubal ring insertion or bipolar electrocoagulation and sectioning, between January 1999 and December 2007. Menstrual cycle interval, intensity and duration of bleeding, premenstrual symptoms, dysmenorrhea, dyspareunia, noncyclic pelvic pain and degree of sexual satisfaction were assessed in this questionnaire. Each woman served as her own control, and comparisons were made between before and after the surgical procedure and between the two techniques used. Results: The clinical and psychological repercussions were significant, with increases in bleeding (P = 0.001), premenstrual symptoms (P < 0.001), dysmenorrhea (P = 0.019) and noncyclic pelvic pain (P = 0.001); and reductions in the number of sexual intercourse occurrences per week (P = 0.001) and in libido (P = 0.001). Women aged ≤ 35 years at the time of sterilization were more likely to develop menstrual abnormalities. The bipolar electrocoagulation method showed greater clinical and psychological repercussions. Conclusion: Regardless of the technique used, videolaparoscopic tubal ligation had repercussions consisting of increased menstrual flow and premenstrual symptoms, especially in women aged ≤ 35 years, and also had a negative influence on sexual activity. Reproduced under CC-BY. ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Dysmenorrhea and period pain](https://niyora.com/research/topics/condition-dysmenorrhea/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Libido and sexual function](https://niyora.com/research/topics/symptom-sexual-function/)[Bipolar disorder](https://niyora.com/research/topics/comorbidity-bipolar/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Survey study, 2021 Do premenstrual symptoms affect sexual desire? Randomised trial, 2025 Do vitamin D and E supplements reduce menstrual pain and PMS symptoms? Systematic review, 2025 Does digital healthcare help manage period pain and PMS? Cohort study, 2025 How common is PMS in Chinese teenage girls, and what factors are linked to it? Systematic review, 2025 Does teaching adolescent girls about their menstrual cycle and health help reduce period pain and PMS? Randomised trial, 2024 Does estetrol/drospirenone birth control improve PMS symptoms? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗