Post Tubal Ligation Syndrome

Post Tubal Ligation Syndrome

Until recently tubal ligation seemed like a relatively safe and effective solution as a contraception post childbirth.

Then we started to have more and more women comment that following a tubal ligation, their hormonal issues became worse; and a raft of issues developed following the procedure. This led us to investigate further and discovered that for some women, not all - but enough to warrant concern - that a tubal ligation may not have been the best choice.

The relatively innocuous procedure seems on the surface to be a great solution to prevent pregnancy; however, it seems that the blood flow to the ovaries is semi-dependent upon the pathway of the fallopian tubes. This blood flow allows for correct oxygenation of the ovaries, as well as chemical messaging of hormones and other blood chemicals. When this blood supply is restricted, then additional hormonal issues begin to develop.

Another theory is that certain target or receptor cells that are important in the transmission of hormonal messaging are damaged or removed during the tubal ligation. These receptor cells are integral for the correct messaging of hormonal signals in the brain via the hypothalamus & pituitary axis, which controls hormone levels. So the possibility of reduced blood supply to the ovaries; and dysfunction of the receptor cells transmissions, affects the larger endocrine and hormonal system.

Several studies have shown increased menstrual difficulties post tubal ligation, especially in the age group of 20 - 29, when the blood supply is most prevalent.

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Symptoms that have been reported following a post tubal ligation are listed below; however, it's important to note that these symptoms are wide and varied. It's hard to pinpoint exact symptoms. But the variety of reported symptoms suggest that the effect is systemic. (List is taken from

  1. Ectopic pregnancy or pregnancy (well-known risk of tubal ligations)
  2. Hot flashes, flushes, night sweats and/or cold flashes, clammy feeling, chills
  3. Bouts of rapid heart beat
  4. Irritability
  5. Mood swings, sudden tears
  6. Trouble sleeping through the night (with or without night sweats)
  7. Irregular periods; shorter, lighter periods; heavier periods, flooding; phantom periods, shorter cycles, longer cycles
  8. Loss of libido
  9. Dry vagina
  10. Itchy vagina - at times raw-like; can radiate from the whole area, with an absence of yeast infections
  11. Colour change in vaginal area (colour gets darker; darker red to purple)
  12. Crashing fatigue - Chronic Fatigue
  13. Anxiety, feeling ill at ease
  14. Feelings of dread, apprehension, doom
  15. Difficulty concentrating, disorientation, mental confusion
  16. Disturbing memory lapses
  17. Incontinence, especially upon sneezing, laughing; urge incontinence
  18. Prolapse of the uterus due to the rapid decrease in estrogen levels
  19. Itchy, crawly skin
  20. Aching, sore joints, muscles and tendons
  21. Increased tension in muscles
  22. Breast tenderness
  23. A decrease in breast mass
  24. Headache change: increase or decrease
  25. Gastrointestinal distress, indigestion, flatulence, gas pain, Irritable bowel syndrome (IBS)
  26. Sudden bouts of bloat
  27. Depression
  28. Exacerbation of existing conditions
  29. Allergies developing or increasing - (Chronic sinusitis).
  30. Nasal infections-necessitating antibiotics
  31. Weight gain
  32. Hair loss or thinning, head, pubic, or whole body; increase in facial hair
  33. Dizziness, light-headedness, episodes of loss of balance
  34. Changes in body odour
  35. Electric shock or stabbing sensation under the skin.
  36. Tingling in the extremities
  37. Gum problems and increased bleeding
  38. Burning tongue, burning roof of the mouth, bad taste in mouth, change in breath odour
  39. Osteoporosis (after several years )
  40. Changes in fingernails: softer, crack or break more easily
  41. Stabbing pains in pelvic area at the time of ovulation
  42. Pelvic pain
  43. Development of Adenomyosis
  44. Development of Ovarian/Tubal Cysts
  45. Decreased Lactation Ability
In our opinion, this information is important to be aware of, if you are considering a tubal ligation; and if you've already had a tubal ligation, to investigate if there may be a link with your symptoms.

    If your issues seem linked, then there is the option to have it reversed - and hope that the circulation can be restored. Also, consider herbal options to correct the imbalance that has developed.

    Our suggestion to start to better understand your unique hormonal situation, is to take our online women's health assessment. It is free and we will send you a personalised comprehensive report detailing how your symptoms relate to hormonal factors and how you can start to take proactive steps towards better health.

    Happy Hormones is an option to consider in this situation to assist the body to regulate hormone levels. 

    Scientific evidence:


    Jeff Butterworth


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