ABSTRACT
To determine the frequency of menstrual problems after tubal ligation. Study Design: Descriptive study. This study was carried out in gynae department of PAF Hospital Sargodha, Pakistan from September 2011 to September 2012. Two hundred patients were included in the study with menstrual problems after tubal ligation. Forty seven percent of patients presented with menorrhagia, 28% presented with metrorrhagia, 13% patients were having complaints of polymenorrhoea and 5% patients presented with dysmenorrhea and 7% had oligomenorrhoea after tubal ligation. Thirty one percent of patients ended up in hysterectomy and 37% of patients had improvement of symptoms with medical treatment. Menstrual problem is a common complaint in our gynecological patients. A large number of these patients had history of tubal ligation. Menorrhagia, metrorrhagia, polymenorrhoea and dysmenorrhoea can occur after tubal ligation. Patients giving the history of menstrual problems and wants tubal ligation should be counselled earlier for these symptoms