Author/Authors :
Jahanian Sadatmahalleh, Shahideh Department of Midwifery and Reproductive Health - Faculty of Medical Sciences - Tarbiat Modares University, Tehran , Ziaei, Saeideh Department of Midwifery and Reproductive Health - Faculty of Medical Sciences - Tarbiat Modares University, Tehran , Kazemnejad, Anoshirvan Department of Biostatistics - Faculty of Medical Sciences - Tarbiat Modares University, Tehran , Mohamadi, Eesa Department of Nursing - Faculty of Medical Sciences -Tarbiat Modares University, Tehran
Abstract :
Background: The aim of this study is to evaluate the menstrual pattern, sexual function, and anxiety, and depression in women
with poststerilization regret, and potential influencing factors for regret following tubal ligation (TL) in Iranian women.
Materials and Methods: In this cross-sectional study, 166 women with TL were subdivided into two groups including
women with poststerilization regret (n=41) and women without poststerilization regret (n=125). They were
selected from a health care center in Guilan province (Iran) during 2015-2016. Menstrual blood loss was measured
using the Pictorial Blood Loss Assessment Chart (PBLAC) and through a self-administered questionnaire. In addition,
sexual function was assessed by the Female Sexual Function Index (FSFI), and psychological distress was measured
by employing the Hospital Anxiety and Depression Scale (HADS). Student’s t test and Chi-square test were used to
reveal the statistical differences between the two groups. We used logistic regression to determine the influencing factors
associated with regretting sterilization.
Results: Women with poststerilization regret had more menorrhagia (78 vs. 57.6%, P=0.03) than those who did not regret
sterilization. A significant difference was found in sexual dysfunction in orgasm (P=0.02), satisfaction (P=0.004),
pain (P=0.02), and total FSFI scores (P=0.007) between the two groups. Also, there was a significant difference
between the two groups in anxiety, depression and total scores HADS (P=0.01). In the logistic regression model,
age of sterilization [odds ratio (OR=2.67), confidence interval (CI): 1.03-7.81, P=0.04)], pre-sterilization counseling
(OR=19.92, CI: 6.61-59.99, P<0.001), score of PBLAC (OR=1.01, CI: 1.004-1.01, P=0.001), the number of days of
bleeding (OR=1.37, CI: 1.01-1.99, P=0.04), and the length of menstrual cycles (OR=0.91, CI: 0.84-0.99, P=0.03)
were significantly associated with regretting sterilization.
Conclusion: Complications due to sterilization are the main causes of regret; therefore, it is necessary to pay due attention
to mentioning the probable complications of the procedures such as menstruation disorders, sexual dysfunction,
and anxiety and depression in women during pre-sterilization counseling.
Keywords :
Anxiety , Menstrual Cycle , Regret , Sexual Dysfunction , Tubal Ligation
