Our Summary

This research paper explores whether having a certain type of sterilization surgery (post-partum bilateral tubal ligation, or BTL) at the same time as a cesarean delivery (CD) impacts the long-term risk of developing ovarian cancer (OC). The study looked at women aged 35 and over who had a cesarean delivery for their last childbirth, comparing those who also had a BTL with those who did not. The researchers found that even though the women who had BTL with their CD had more risk factors for ovarian cancer (like being older, being obese, having high blood pressure during pregnancy, and diabetes), their chances of getting ovarian cancer were not significantly different from the women who only had a CD. So, it seems that having a BTL with a CD does not increase a woman’s long-term risk for developing ovarian cancer.

FAQs

  1. Does having a bilateral tubal ligation (BTL) at the same time as a cesarean delivery (CD) increase the risk of developing ovarian cancer (OC)?
  2. How did the study compare risk factors for ovarian cancer in women who had a BTL with their CD and those who only had a CD?
  3. What were the common risk factors for ovarian cancer among women who had BTL with their CD?

Doctor’s Tip

A doctor may advise a patient considering bilateral tubal ligation to discuss the procedure thoroughly with their healthcare provider, weigh the risks and benefits, and consider alternative forms of contraception if they are unsure. It is important for the patient to fully understand the potential implications of the procedure and make an informed decision that aligns with their personal health goals.

Suitable For

Patients who are typically recommended bilateral tubal ligation include those who are certain they do not want to have children in the future, those who have completed their desired family size, those who have medical conditions that would make pregnancy dangerous, and those who have a family history of genetic disorders that they do not want to pass on to future children. Additionally, bilateral tubal ligation may be recommended for patients who have a high risk of complications from other forms of contraception or who are unable to use other forms of contraception consistently.

Timeline

Before bilateral tubal ligation:

  1. Patient discusses sterilization options with healthcare provider.
  2. Patient decides to undergo bilateral tubal ligation.
  3. Patient schedules surgery date and receives pre-operative instructions.
  4. Patient undergoes pre-operative testing and evaluation.
  5. Patient undergoes bilateral tubal ligation surgery.

After bilateral tubal ligation:

  1. Patient experiences post-operative pain and discomfort.
  2. Patient is monitored closely for any complications.
  3. Patient is advised to rest and avoid strenuous activities.
  4. Patient may experience temporary changes in menstrual cycle.
  5. Patient follows up with healthcare provider for post-operative care.
  6. Patient resumes normal activities once fully recovered.
  7. Patient enjoys the benefits of permanent contraception.

What to Ask Your Doctor

  1. What is bilateral tubal ligation (BTL) and how does it work as a form of permanent contraception?
  2. What are the potential risks and complications associated with undergoing bilateral tubal ligation?
  3. How is bilateral tubal ligation performed, and what is the recovery process like?
  4. Are there any alternative forms of permanent contraception that I should consider before deciding on bilateral tubal ligation?
  5. How long does it take for bilateral tubal ligation to become effective at preventing pregnancy?
  6. Will bilateral tubal ligation affect my menstrual cycle or hormone levels in any way?
  7. Are there any long-term health risks or implications associated with undergoing bilateral tubal ligation?
  8. What is the likelihood of the procedure being reversible in the future if I decide I want to become pregnant again?
  9. Are there any specific factors or medical conditions that would make me a better or worse candidate for bilateral tubal ligation?
  10. How often should I follow up with you after undergoing bilateral tubal ligation, and what signs or symptoms should I watch for that may indicate a complication?

Reference

Authors: Kessous R, Sergienko R, Sheiner E. Journal: Arch Gynecol Obstet. 2020 Jun;301(6):1473-1477. doi: 10.1007/s00404-020-05547-w. Epub 2020 Apr 22. PMID: 32322983