RE: Irregular uterine bleeding after tubal ligation

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of information regarding Post Tubal Ligation Syndrome.

Essentially, a ligation can affect blood flow to the ovaries and so they slowly

atrophy. Without adequate blood supply, they cannot do their important

hormonal work with regards to the regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

To:

nfpprofessionals

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

This is an oversimplification, not all women who have had tubal

ligation suffer the consequences described. Most do not. I am opposed to any

form of temporary or permanent sterilization, but you cannot teach the truth

with a lie. It just makes us look like fanatics… please don’t advocate this

book as factual. Just the cover imakes it

Hanna Klaus, M.D.

Natural Family Planning Center of Washington, D.C. and Teen STAR

Program

8514 Bradmoor Drive

Bethesda, MD 20817-3810

hannaklaus@...

suspect.

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 3:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of information

regarding Post Tubal Ligation Syndrome. Essentially, a ligation can affect

blood flow to the ovaries and so they slowly atrophy. Without adequate

blood supply, they cannot do their important hormonal work with regards to the

regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

Thank you. Do you know of a better resource to provide about the long term medical risks associated with tubal ligation? I do want the factual information. a Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: hannaklaus@...Date: Fri, 8 Oct 2010 16:11:09 -0400Subject: RE: Irregular uterine bleeding after tubal ligation

This is an oversimplification, not all women who have had tubal

ligation suffer the consequences described. Most do not. I am opposed to any

form of temporary or permanent sterilization, but you cannot teach the truth

with a lie. It just makes us look like fanatics… please don’t advocate this

book as factual. Just the cover imakes it

Hanna Klaus, M.D.

Natural Family Planning Center of Washington, D.C. and Teen STAR

Program

8514 Bradmoor Drive

Bethesda, MD 20817-3810

hannaklaus@...

suspect.

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 3:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of information

regarding Post Tubal Ligation Syndrome. Essentially, a ligation can affect

blood flow to the ovaries and so they slowly atrophy. Without adequate

blood supply, they cannot do their important hormonal work with regards to the

regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

It's my understanding that the fallopian tubes are closely connected with the blood vessels that supply the ovaries and it's difficult to sever the fallopian tubes without also damaging those. However, Dr. Klaus has just brought to my attention that this information may not be factual, so I may be wrong on that. I am eager to see what other resources turn up in this conversation.a Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: sheila@...Date: Fri, 8 Oct 2010 13:05:39 -0700Subject: RE: Irregular uterine bleeding after tubal ligation

Am feeling a little stupid here....but how does cutting the

fallopian tube affect blood flow to the ovaries?

Sheila St.

Executive Director

California

Association of Natural Family Planning

www.canfp.org

1-877-33-CANFP

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 12:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of information regarding Post Tubal Ligation Syndrome.

Essentially, a ligation can affect blood flow to the ovaries and so they slowly

atrophy. Without adequate blood supply, they cannot do their important

hormonal work with regards to the regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

To:

nfpprofessionals

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

Any textbook of gyn, or go online to PubMed.

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 4:21 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

Thank you. Do you know of a better

resource to provide about the long term medical risks associated with tubal

ligation? I do want the factual information.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: hannaklaus@...

Date: Fri, 8 Oct 2010 16:11:09 -0400

Subject: RE: Irregular uterine bleeding after tubal ligation

This is an

oversimplification, not all women who have had tubal ligation suffer the

consequences described. Most do not. I am opposed to any form of

temporary or permanent sterilization, but you cannot teach the truth with

a lie. It just makes us look like fanatics… please don’t

advocate this book as factual. Just the cover imakes it

Hanna Klaus,

M.D.

Natural

Family Planning Center of Washington, D.C. and Teen STAR Program

8514

Bradmoor Drive

Bethesda, MD

20817-3810

hannaklaus@...

suspect.

[mailto:nfpprofessionals ] On Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 3:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of

information regarding Post Tubal Ligation Syndrome. Essentially, a ligation can

affect blood flow to the ovaries and so they slowly atrophy. Without

adequate blood supply, they cannot do their important hormonal work with

regards to the regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

deliberately chose vasectomy partners as the controls (even though the Stergachis data on bleeding rates of vasectomy partners was already available and published--NEJM refused to publish may letter to the editor on this. A more suitable control would have been unsterilized wives/partners of unsterilized men), even though these also had significantly higher rates of the bleeding related complications. The papers altogether show that both tubal ligation partners and vasectomy partners have higher rates. But to get this out of the data you have to read "the fine print" as they say.

So using them (vasectomy partners) as controls could dilute the affect to the point of eliminating it altogether. Also, they used a rather disingenuous variable of "more bleeding" (any abnormal bleeding, not just increases, are significant, because abnormal secondary amenorrhea will of course tend to cancel out the "increase" cases), and finally even allowing these anomalous study methods the numbers just about do rise to the level of abnormal if you read the paper and add them up - - I don't remember exactly but I do remember thinking it hardly exonerated TL as a procedure when it comes even to the case of only the single complication known as abnormal bleeding. The later Stergachis data as I recall also showed them more likely to require hospital admission for this, which is truly important (not that abnormal bleeding that doesn't require hospitalization isn't also important).

And the increase in hysterectomy rates is indisputable and undisputed. But they try to downplay it by making comments about the lack of a plausible biological basis for things to be associated. Here is one of the striking and glaring oddities (a kindly chosen word here) about the contraceptive scientific and medical establishment. When it comes to the finding of contraceptive liabilities and complications we see a consistent incredulity and ratcheted up efforts to disprove associations, and application of only the highest and most stringent standards of evidence, while on the other hand when trying to make the case for "noncontraceptive benefits" of for example the pill, the opposite -- a real scientific credulity -- is seen. I think this was also mostly missed by my critics recently when discussing the case of condoms and preeclampsia on this list, even though I chose not to engage at that time.

Sincerely yours,

Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPh

Interventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning Researcher

Medical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@...)

Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com)

(office)

(cell)

(FAX)

pedullad@...

"[T]he witness of their fidelity to the end was ever more powerful than the inspired words that so many of them spoke before surrendering everything to the Lord. In our own time, the price to be paid for fidelity to the Gospel is no longer being hanged, drawn and quartered but it often involves being dismissed out of hand, ridiculed or parodied. And yet, the Church cannot withdraw from the task of proclaiming Christ and his Gospel as saving truth, the source of our ultimate happiness as individuals and as the foundation of a just and humane society." (Benedict XVI on Newman beatification)

Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously considering tubal ligation, and wanted to know re: health effects. I do remember a discussion onlist a few years ago (or more) about a higher rate of DUB after BTL--with patients going on to either endometrial ablation or hysterectomy...and a theory that it may have been due to changes in the hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

The blood supply to the ovaries varies, sometimes the tubal vessels

are a major source, sometimes not. It also depends where the tubal ligation

was performed, in relation to the vessels. One statement cannot fit all

situations.

Hanna Klaus

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 4:31 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

It's my understanding that the fallopian tubes

are closely connected with the blood vessels that supply the ovaries and it's

difficult to sever the fallopian tubes without also damaging those.

However, Dr. Klaus has just brought to my attention that this information may

not be factual, so I may be wrong on that. I am eager to see what other

resources turn up in this conversation.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: sheila@...

Date: Fri, 8 Oct 2010 13:05:39 -0700

Subject: RE: Irregular uterine bleeding after tubal ligation

Am feeling a

little stupid here....but how does cutting the fallopian tube affect blood flow

to the ovaries?

Sheila St.

Executive

Director

California Association of

Natural Family Planning

www.canfp.org

1-877-33-CANFP

[mailto:nfpprofessionals ] On Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 12:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of information regarding Post Tubal Ligation Syndrome.

Essentially, a ligation can affect blood flow to the ovaries and so they slowly

atrophy. Without adequate blood supply, they cannot do their important

hormonal work with regards to the regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

To:

nfpprofessionals

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

But even if some TL methods do not physically disrupt the ovarian nervous/vascular supply, we still have the issue of the direct psychosomatic and existential attack on a very important domain of a woman's identity, something even I think is attested to by german IVF experts who discuss the "mutilated body image" (Langerhans I think??) among women who present for IVF after tubal ligation. And NB this is completely irrespective of whether the woman chose it intentionally without any coercion however subtle, and even irrespective of how 'pleased" the woman is with her choice to have had the operation.

And one more thing...I have met few women who are not in some way paying either physically, emotionally, or spiritually for their TLs, even if on account of psychic strength and determination they are able to conceal it or even deny it from themselves. And why shouldn't this be so? after all it is a fairly brutal form of self-attack, given the human significance of the organs being violated.

Personally I believe it's possible that this psychic wound may enter the subconscious of a woman who may not even consciously realize she suffers from it. If so it wouldn't be surprising that the neurons governing the relevant HPO networks in the brain which are also responsive to self-image issues, as is known in other contexts (bulimia, stress, etc.). Interesting to speculate this way, but we needn't resort to speculation to admit that TL is a colossal injury to a woman, in any context.

Sincerely yours,

Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPh

Interventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning Researcher

Medical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@...)

Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com)

(office)

(cell)

(FAX)

pedullad@...

"[T]he witness of their fidelity to the end was ever more powerful than the inspired words that so many of them spoke before surrendering everything to the Lord. In our own time, the price to be paid for fidelity to the Gospel is no longer being hanged, drawn and quartered but it often involves being dismissed out of hand, ridiculed or parodied. And yet, the Church cannot withdraw from the task of proclaiming Christ and his Gospel as saving truth, the source of our ultimate happiness as individuals and as the foundation of a just and humane society." (Benedict XVI on Newman beatification)

Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

Thank you for your candor, Dr. Klaus. We need to be well directed in our efforts.God bless, RoskoTo: nfpprofessionals From: hannaklaus@...Date: Fri, 8 Oct 2010 16:11:09 -0400Subject: RE: Irregular uterine bleeding after tubal ligation

This is an oversimplification, not all women who have had tubal

ligation suffer the consequences described. Most do not. I am opposed to any

form of temporary or permanent sterilization, but you cannot teach the truth

with a lie. It just makes us look like fanatics… please don’t advocate this

book as factual. Just the cover imakes it

Hanna Klaus, M.D.

Natural Family Planning Center of Washington, D.C. and Teen STAR

Program

8514 Bradmoor Drive

Bethesda, MD 20817-3810

hannaklaus@...

suspect.

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 3:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of information

regarding Post Tubal Ligation Syndrome. Essentially, a ligation can affect

blood flow to the ovaries and so they slowly atrophy. Without adequate

blood supply, they cannot do their important hormonal work with regards to the

regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 8, 2010

These will tend to grossly underestimate the problems.Sent from my Verizon Wireless BlackBerrySender: nfpprofessionals Date: Fri, 8 Oct 2010 16:45:57 -0400To: <nfpprofessionals >ReplyTo: nfpprofessionals Subject: RE: Irregular uterine bleeding after tubal ligation Any textbook of gyn, or go online to PubMed.(http://www.nlm.gov) From:nfpprofessionals [mailto:nfpprofessionals ] OnBehalf Of NFP LethbridgeSent: Friday, October 08, 2010 4:21 PMTo: nfpprofessionals Subject: RE: Irregular uterine bleeding after tuballigation Thank you. Do you know of a betterresource to provide about the long term medical risks associated with tuballigation? I do want the factual information. a Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: hannaklaus@...Date: Fri, 8 Oct 2010 16:11:09 -0400Subject: RE: Irregular uterine bleeding after tubal ligation This is anoversimplification, not all women who have had tubal ligation suffer theconsequences described. Most do not. I am opposed to any form oftemporary or permanent sterilization, but you cannot teach the truth witha lie. It just makes us look like fanatics… please don’tadvocate this book as factual. Just the cover imakes itHanna Klaus,M.D.NaturalFamily Planning Center of Washington, D.C. and Teen STAR Program8514Bradmoor DriveBethesda, MD20817-3810hannaklaus@...http://www.teenstarprogram.org suspect. From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of NFP LethbridgeSent: Friday, October 08, 2010 3:13 PMTo: nfpprofessionals Subject: RE: Irregular uterine bleeding after tuballigation This site contains lots ofinformation regarding Post Tubal Ligation Syndrome. Essentially, a ligation canaffect blood flow to the ovaries and so they slowly atrophy. Withoutadequate blood supply, they cannot do their important hormonal work withregards to the regulation of bleeding. www.tubal.orga Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: kdpoehailos@...Date: Fri, 8 Oct 2010 16:51:17 +0000Subject: Irregular uterine bleeding after tubal ligation To all, Good afternoon! I've been working with a Catholic who was seriouslyconsidering tubal ligation, and wanted to know re: health effects. I doremember a discussion onlist a few years ago (or more) about a higher rate ofDUB after BTL--with patients going on to either endometrial ablation orhysterectomy...and a theory that it may have been due to changes in thehormonal environment with ligation of the tubal vessels. I'm going to try to research, but if anyone knows the references or can furtherenlighten me so I can consult with her, I'd appreciate it. Thanks!! D Poehailos, MDFamily Physician/STM instructor trainerCharlottesville VA

October 9, 2010

I searched and found informaiton on PubMed about post tubal ligation syndrome, which speculate about damaged blood supply as a possible cause of PTLS symptoms. I'm not trying to difficult here, I want to understand why that possibility is to be considered a lie? a Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: hannaklaus@...Date: Fri, 8 Oct 2010 16:45:57 -0400Subject: RE: Irregular uterine bleeding after tubal ligation

Any textbook of gyn, or go online to PubMed.

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 4:21 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

Thank you. Do you know of a better

resource to provide about the long term medical risks associated with tubal

ligation? I do want the factual information.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: hannaklaus@...

Date: Fri, 8 Oct 2010 16:11:09 -0400

Subject: RE: Irregular uterine bleeding after tubal ligation

This is an

oversimplification, not all women who have had tubal ligation suffer the

consequences described. Most do not. I am opposed to any form of

temporary or permanent sterilization, but you cannot teach the truth with

a lie. It just makes us look like fanatics… please don’t

advocate this book as factual. Just the cover imakes it

Hanna Klaus,

M.D.

Natural

Family Planning Center of Washington, D.C. and Teen STAR Program

8514

Bradmoor Drive

Bethesda, MD

20817-3810

hannaklaus@...

suspect.

[mailto:nfpprofessionals ] On Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 3:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of

information regarding Post Tubal Ligation Syndrome. Essentially, a ligation can

affect blood flow to the ovaries and so they slowly atrophy. Without

adequate blood supply, they cannot do their important hormonal work with

regards to the regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 9, 2010

The possibility of post tubal ligation syndrome is not a lie. Some women have it. The exaggeration would be to say that all women have it when only a minority do. DSubject: RE: Irregular uterine bleeding after tubal ligationTo: nfpprofessionals Date: Friday, October 8, 2010, 11:10 PM

I searched and found informaiton on PubMed about post tubal ligation syndrome, which speculate about damaged blood supply as a possible cause of PTLS symptoms. I'm not trying to difficult here, I want to understand why that possibility is to be considered a lie? a Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: hannaklaus@...Date: Fri, 8 Oct 2010 16:45:57 -0400Subject: RE: Irregular uterine bleeding after tubal ligation

Any textbook of gyn, or go online to PubMed.

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 4:21 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

Thank you. Do you know of a better

resource to provide about the long term medical risks associated with tubal

ligation? I do want the factual information.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: hannaklaus@...

Date: Fri, 8 Oct 2010 16:11:09 -0400

Subject: RE: Irregular uterine bleeding after tubal ligation

This is an

oversimplification, not all women who have had tubal ligation suffer the

consequences described. Most do not. I am opposed to any form of

temporary or permanent sterilization, but you cannot teach the truth with

a lie. It just makes us look like fanaticsâ€¦ please donâ€™t

advocate this book as factual. Just the cover imakes it

Hanna Klaus,

M.D.

Natural

Family Planning Center of Washington, D.C. and Teen STAR Program

8514

Bradmoor Drive

Bethesda, MD

20817-3810

hannaklaus@...

suspect.

[mailto:nfpprofessionals ] On Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 3:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of

information regarding Post Tubal Ligation Syndrome. Essentially, a ligation can

affect blood flow to the ovaries and so they slowly atrophy. Without

adequate blood supply, they cannot do their important hormonal work with

regards to the regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: kdpoehailos@...

Date: Fri, 8 Oct 2010 16:51:17 +0000

Subject: Irregular uterine bleeding after tubal ligation

To all,

Good afternoon! I've been working with a Catholic who was seriously

considering tubal ligation, and wanted to know re: health effects. I do

remember a discussion onlist a few years ago (or more) about a higher rate of

DUB after BTL--with patients going on to either endometrial ablation or

hysterectomy...and a theory that it may have been due to changes in the

hormonal environment with ligation of the tubal vessels.

I'm going to try to research, but if anyone knows the references or can further

enlighten me so I can consult with her, I'd appreciate it.

Thanks!!

D Poehailos, MD

Family Physician/STM instructor trainer

Charlottesville VA

October 9, 2010

I think there has been a misunderstanding here. I never said anything about all women having it. I said "ligation can affect blood flow..." No mention of the frequency that it happens. a Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: mdavmd@...Date: Sat, 9 Oct 2010 00:34:30 -0700Subject: RE: Irregular uterine bleeding after tubal ligation

The possibility of post tubal ligation syndrome is not a lie. Some women have it. The exaggeration would be to say that all women have it when only a minority do. DSubject: RE: Irregular uterine bleeding after tubal ligationTo: nfpprofessionals Date: Friday, October 8, 2010, 11:10 PM

I searched and found informaiton on PubMed about post tubal ligation syndrome, which speculate about damaged blood supply as a possible cause of PTLS symptoms. I'm not trying to difficult here, I want to understand why that possibility is to be considered a lie? a Van UdenBillings Ovulation Method Instructorwww.billingsnaturalfamilyplanning.orgwww.nfpcharting.comBillings Lethbridge Facebook GroupTo: nfpprofessionals From: hannaklaus@...Date: Fri, 8 Oct 2010 16:45:57 -0400Subject: RE: Irregular uterine bleeding after tubal ligation

Any textbook of gyn, or go online to PubMed.

From:

nfpprofessionals [mailto:nfpprofessionals ] On

Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 4:21 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

Thank you. Do you know of a better

resource to provide about the long term medical risks associated with tubal

ligation? I do want the factual information.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group

From: hannaklaus@...

Date: Fri, 8 Oct 2010 16:11:09 -0400

Subject: RE: Irregular uterine bleeding after tubal ligation

This is an

oversimplification, not all women who have had tubal ligation suffer the

consequences described. Most do not. I am opposed to any form of

temporary or permanent sterilization, but you cannot teach the truth with

a lie. It just makes us look like fanatics… please don’t

advocate this book as factual. Just the cover imakes it

Hanna Klaus,

M.D.

Natural

Family Planning Center of Washington, D.C. and Teen STAR Program

8514

Bradmoor Drive

Bethesda, MD

20817-3810

hannaklaus@...

suspect.

[mailto:nfpprofessionals ] On Behalf Of NFP Lethbridge

Sent: Friday, October 08, 2010 3:13 PM

Subject: RE: Irregular uterine bleeding after tubal

ligation

This site contains lots of

information regarding Post Tubal Ligation Syndrome. Essentially, a ligation can

affect blood flow to the ovaries and so they slowly atrophy. Without

adequate blood supply, they cannot do their important hormonal work with

regards to the regulation of bleeding.

a Van Uden

Billings Ovulation Method Instructor

Billings Lethbridge Facebook Group