RESUMEN
Objective: Laparoscopic tubal sterilization is a commonly preferred contraceptive method in women. This surgical intervention can be associated with certain complications in the short term and it also has the risk of failure in the long term. On the other hand, relationship between laparoscopic tubal sterilization and premature menopause in the long term has not been elucidated. The present study addresses this subject
Design: Retrospective cohort study
Setting: The local hospital of Ankara, Turkey
Subjects: The study group included 76 patients with the laparoscopic coagulation [Group 1] and 76 healthy women [Group 2]
Intervention: The study aimed to determine age at menopause between patients who underwent tubal sterilization using the laparoscopic coagulation method and the control group
Main outcome measure: Age at menopause
Results: There was no statistically significant difference between the groups with regard to age of menopause [47.86 +/- 1.72 vs. 48.19 +/- 1.61; p = 0.271]
Conclusions: Tubal sterilization using the laparoscopic coagulation method does not result in premature menopause. However, further studies should focus on the effects of salpingectomy, which has proved to be protective against ovarian cancer
RESUMEN
A unicornuate uterus with a rudimentary horn is an anomaly caused by defective fusion of the Mullerian duct, estimated to occur in one in 76,000 pregnancies. Life threateningly heavy bleeding is a highly expected clinical consequence of such pregnancies. According to the known literature, only two living twins and few living singleton pregnancies have been reported up to now. Here we report on an incidentally diagnosed unicornuate uterus with a communicating rudimentary horn, found during a cesarean section of a gravida 3, parity 2 [G3 P2] patient. This case is rather unique since the patient has had three full term pregnancies and three cesarean sections without significant fetal compromise. This delivery and the existing literature showed us that extensive uterine correction surgeries need not be automatically proposed when a unicornuate uterus is diagnosed in the preconception period. Such deliveries indicate that women with this uterine anomaly may have the potential to carry pregnancies to full term