Voluntary surgical contraception: a study on level of satisfaction.

ABSTRACT

Voluntary surgical contraception (VSC) is said to be one of the most popular, safe, effective and long term methods of birth control not only in Nepal but also in the world One of the very frequently suspected complication or effect of voluntary sterilization (female) is "post tubal sterilization syndrome". The term post tubal sterilization syndrome has been used variously to include abnormal menstrual bleeding, dysmenorrahoea, premenstrual distress, hysterectomy and miscellaneous other conditions like need for recanalisation, feeling of regret and menopausal syndrome. Abnormal vaginal bleeding due to ovarian dysfunction has been a regular and common complaint of the female clients after their TS. This study was carried out in a clinic setting to find out the level of satisfaction among the cases of VS. Level of satisfaction was measured by whether the client regretted the procedure, whether their menstrual pattern was changed after the procedure, performed either by themselves or VSC by the husband and also by finding out how many of them needed hysterectomy and recanalisation procedure. Women who had undergone TS were taken as the cases (group A) and those women whose husband has VSC were taken as control group (group B). The result showed that there is almost no difference in the age group of both case and control at the time of their consultation. At the time of VS almost 60% (56.53%) of cases were <29 years of age and >70% (71.23%) of the women were <29 years of age when their husbands were vasectomised. 26.15% of the women in group A were in the age group of 30-40 whereas this age group comprised of only 15.38% in group B. Average age at menarche was 14 years and average age at marriage 17 years. The menstrual pattern was not found to have changed in both groups excepts for those who had organic condition. Hysterectomy had been performed in only 5 cases at the age of 30, 34, 40, 42 and 43 years in group-A and in two case in group-B. Indications of hysterectomy n these cases were (DUB) and fibroids. Two patients in group-A had to undergo recanalisation but the indication in both the cases were loss of previous children.