[en] OBJECTIVE: To examine thoroughly the profile and motivations of a group of women who regretted sterilization so much that they were prepared to undergo reversal microsurgery or in vitro fertilization treatment. MATERIAL: and methods. The study followed one hundred women from their first consultation for a period of 3 years in order to analyze the outcome of their initial decision. RESULTS: Analysis of the circumstances at the time of the sterilization indicate 3 main factors which later caused the women to regret the decision Three years after the initial consultation, 69% of the patients have withdrawn from further investigation and /or treatment for different reasons analyzed in this study. 17 of the patients have undergone reversal microsurgery and 14 have attempted one or more in vitro fertilization treatments. Of these 31 patients, 12 (38.7%) have given birth to at least one child. CONCLUSION: These results sufficiently prove that tubal sterilization is worthy of consideration as much by the patient as by the physician as a method of irreversible contraception despite the developments in tubal microsurgery or in medically assisted procreation.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Nervo, Patricia ; Centre Hospitalier Universitaire de Liège - CHU > Gynécologie-Obstétrique CHR
Bawin, L.
Foidart, Jean-Michel ; Université de Liège - ULiège > Département des sciences cliniques > Gynécologie - Obstétrique
Dubois, Michel ; Université de Liège - ULiège > Services généraux (Faculté de médecine) > Relations académiques et scientifiques (Médecine)
Language :
French
Title :
Regrets apres sterilisation tubaire
Alternative titles :
[en] Regret after Tubal Sterilization
Publication date :
September 2000
Journal title :
Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Mosher W.D. (1985) Reproductive impairments in the United States, 1965-1982. Demography 22:415-430.
Cliquet R.L., Van Hyfte E., Deven F. (1976) Evolutie van de kennis en van het gebruik van anticonceptionele methoden bij de gehuwde vrouwen van de nederlandse cultuur gemeenschap in Belgie 1966-1976. Bevolking en Gezin 3:245-269.
Lennes G., Thoumsin H., Gaspard U., Lambotte R., Enquete sur la contraception. Echevinat du Logement et de la qualite de vie. Liege; 1980.
Dubois M., Houmont M., Haleng-Laret J., Lambotte R. (1982) Sterilisation tubaire coelioscopique par anneaux de Yoon. J Gynecol Obstet Biol Reprod 11:611-618.
Brooks J., Taylor P., Freedman B., Pattinson A. (1987) The fate of women requesting reversal of tubal sterilization. Ferfil Steril 47:876-878.
Miller W.B., Shain R.N., Pasta D.J. (1991) The pre- and poststerilization predictors of poststerilization regret in husbands and wives. The J. of Nervous and Mental Disease 179:602-608.
Wilcox L., Chu S., Eaker E., Zeger S., Peterson H. (1991) Risk factors for regret after tubal sterilization: 5 years of follow-up in a prospective study. Fertil Steril 55:927-933.
Platz-Christensen J.J., Tronstad S.E., Johansson O., Carlsson S.A. (1992) Evaluation of regret after tubal sterilization. Int J Gynaecol Obstet 38:223-226.
Kjer J.J. (1990) Regret of laparoscopic sterilization. Eur J Obstet Gynecol 35:205-210.
Rosenfeld B., Taskin O., Kakkashli A., Rosenfeld M., Chuong C. (1998) Sequelae of postpartum sterilization. Arch Gynecol Obstet 261:183-187.
Wilcox L., Chu S., Peterson H. (1990) Characteristics of women who considered or obtained tubal reanastomosis: Results from a prospective study of tubal sterilization. Obstet Gynecol 75:661-665.
Taylor P., Brooks J. (1987) Sterilization: The woman who changes her mind. Int J Fertil 32:103-111.
Monrozies X., Perineau M., Ayoubi J. (1995) Sterilisation tubaire. Encycl Med Chir 738 A:20.
Chi I., Mumford S., Gardner S. (1981) Pregnancy risk following laparoscopic sterilization in non gravid and gravid women. J Reprod Med 26:289-294.
Winston R.M.L. (1978) Tubal anastomosis for reversal of sterilization in 45 women., Brosens I, Winston R, eds. Reversibility of female sterilization. London: Academic press; 55-67.
Gomel V. (1980) Microsurgical reversal of female sterilization: A reappraisal. Fertil Steril 33:587-597.
Leader A., Galan N., George R., Taylor P. (1983) A comparison of definable traits in women requesting reversal of sterilization and women satisfied with sterilization. Am J Obstet Gynecol 145:198-202.
Langer M., Schreiner-Frech I., Nemeskeri N., Hick P., Ringler M. (1995) Psychosocial prognotic factors for refertilization or IVF after tubal sterilization. Geburtshife Frauenheilkd 55:130-134.
Siegler A., Hulka J., Peretz A. (1985) Reversibility of female sterilizalion. Fertil Steril 43:499-510.
Sauer M., Kirsten B., Zeffer M., Bustillo M., Buster J. (1987) Sterilization reversals performed by fellows in training: What success rates can we reasonably expect?. Microsurgery 8:125-127.
Hedon B., Arnal F., Humeau C., Boulot P. (1992) Fecondation in vitro. Encycl Med Chir 755.
Dubois M., Jouan C., Thonon F., Demeyer F., Hincourt N., George P., Legros S., Denoo X., Schaaps J.P., Foidart J.M., Demoulin A. (1999) La PMA qui reussit. Rev Med Liege 54:387-392.
Demoulin A., Hincourt N., Stassen M., Humblet D., Christiane Y., Emonts P., Gerday C., Jouan C., Gillain D., Dubois M. (1989) Influence de l'age et du schema de stimulation sur les differentes etapes de la FIV. Contracep Fertil Sexualite 17:815-821.
Speirs A., Baker H., Abdullah N. (1996) Analysis of factors affecting embryo implantation. Hum Reprod 11(SUPPL. 1):187-191.