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In response to "Lisa's" post...."WHY?"

by sjb

*I am re-posting this post from "Lisa" in full. My comments start with *.
*Lisa failed to provide her e-mail address nor a real name.

I am an OB GYN nurse practitioner. I had never heard of PTS (it's listed in none of my textbooks) but when a patient came in requesting these labs be done
because she felt she had PTS (whatever that is), I felt I had to investigate what is being put on on the web for people to read.

*Have you read this whole site in full?

First-what is PTS? (*read the full web site) From what I can ascertain, this "sydrome" occurs after a tubal ligation. (*Yes) Is this in all women or a select few? (*Happens to many women, about 80%)

The patient said she was having fatigue, more PMS, cramps with her cycles, ovulatory pain and heavier vaginal discharge when she ovulated. First of all her fatigue was probably due to the fact that she was overweight, didn't eat all day and didn't exercise. Her method of birth control before her tubal was the OCP which stops ovulation, regulates menses and can sometimes decrease PMS.(That's a topic too indepth for this forum) How can all these be attributed to having a tubal?

*These are symptoms of possible hormone imbalance. ALL post tubal women should be tested, reguardless if they are having symptoms or not. What does it matter to you if she has the tests? If her insurance doesn't pay, then she will have to pay.

*This woman say she thinks she's suffering PTS. She knows her body. She lives with herself 24 hours a day, 7 days a week. Her being overweight may play something to do with this, but so could the tubal.

All that was done was to interrupt the path so the egg and sperm can not connect.
* Much more happens than that.

A tubal does nothing to a woman's hormones.
* YES IT CAN.

Granted, there may be a few patients who have complications like
infection, injury to bowel, bladder, other female organs (including the ovary). These are all complications of surgery which are spelled out in the consent for surgery.

*Women are NEVER told that "female organs (including the ovary) might be damaged. This is not spelled out before the surgery.

Most people do not expect it to happen to them but it is a well known risk. That's why most people recommend vasectomy over tubal due to less complications
because a vasectomy is not major surgery. I don't mean to sound condescending to those women who truly have some hormonal disturbance but if a woman
needed testosterone, DHEA, etc after she had a tubal, good bet is she had lots of facial hair, infertility, and other signs that these were elevated long before she had
her tubal.
(*That's why pre-levels testing is being recomended. To disprove comments like this.)

What I'm getting at is: sometimes people misinterpret data. You can't look at a myriad of vague symptoms and attribute it to a surgery you had. If you
have cycles after your tubal, know when you ovulate by way of mid cycle pain and heavier discharge, you can bet the blood supply to the ovaries was not
compromised or you would be menopausal (i.e. NO menses) Yes if a woman had absence of menses, hot flashes, night sweats, vaginal dryness, etc, she could be
menopausal and it could be happening earlier that the norm of age 50. It would have probably happened whether or not she had the tubal. Ovaries decline in their
function as women age just as a normal physiology of aging. We are living longer so most women will live well into their menopausal years. The same reasons why a
woman's chances of getting pregnant after age 35 are the same reasons for the perimenopausal changes that women experience. It's not having the tubal that did
it-it's getting older! I only ask women to be informed but take your concerns to a professional who knows how to interpret the data and come up with a plan of care
to suit your needs best. You don't need most of the blood tests you suggested unless there are symptoms to suggest it. CA-125 is way out there too. That is a test
to look for ovarian cancer but is very non specific and not the first thing to do. Sorry to ramble on, it just frustrates me to have women feel powerless and ill
informed about their bodies. Consult medical textbooks, they are more accurate. Thanks for listening.

* It frustrates me that you are so closed minded to state or belive that PTS is real. It's proffesionals like you who are surpressing women and their rights. You are a nurse. Do you inform patients for the doctor? Do you assit the doctor with TL's?

The women who came in to see you, did you order the tests for her? If not, what if it's found that she has a hormonal imbalance that would include her going into hormone shock and having bone loss? You denying the tests would be non-treatment of a possible known condition. She might have a lawsuit against you, or anyone else who denies her treatment.

Posted on Feb 10, 1999, 9:24 AM

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PTS vs. Perimenopause. on Feb 10, 1999

Me TOOOOOOOOOOOO!!!!. on Feb 11, 1999

Untitled. Anonymous on Feb 24, 1999

untitled. on Feb 24, 1999

Take the Tubal Ligation I.Q. Test Are you outraged? Feel as though you and other women were not (are not) being informed? Think that a class action lawsuit should be filed on behalf of post tubal women because information was and still is being withheld by the ACOG! The CPTwomen invites all reading this forum to join the CPTwomen and communicate with us at the members' forum. All posting here and conversation here has been moved to the members' forum.

CPTwomen members have testified in front of the IL and CA Court, the IL Gov. Task Force, the Sunset Review Committee, (Senator Liz Figueroa), NOW, and more. What occurred has been made a matter of public record. The CPTwomen are making public the issues which millions of other women have faced in silence. Issues such as women are not informed at the time of their tubal ligation that there is a risk of hormonal imbalance occurring. For the CPTwomen to continue its mission to move this issue to the forefront of government, we must ask for a small contribution/subscription fee from all those who wish to communicate with us and participate at the Coalition's Bulletin Board

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