PTLS – Post Tubal Ligation Syndrome is a condition, which occurs after tubal ligation or getting your tubes tied. If you are new to the term tubal ligation, you might not understand what tube tying is all about. Get a brief insight into the PTLS in the following sections.

What Is Tubal Ligation?

To start with, let’s first understand what tubal ligation is. Tubal ligation is a surgical process, wherein a woman gets her fallopian tubes tied, cut or blocked. Such a procedure stops eggs from moving from the ovaries to the fallopian tubes, where it usually gets fertilized by sperms.
This is a permanent method of birth control for women. Women should consider opting for this only when they are sure that they don’t want to get pregnant in future.

What Is PTLS?

PTLS – Post Tubal Ligation Syndrome is a term that’s used for describing a range of symptoms, which a woman may experience following the tubal ligation process. These symptoms are known to be caused because of the hormonal level changes. There’s a theory about the cause of PTLS, which says that it’s due to the disruption of blood flow between the uterus and ovaries that affects the ovarian hormone production.

PTLS Causes

It’s not clearly known as to what causes PTLS, but it’s believed to be the potential damage that happens to the ovaries in the course of the surgery. A possible damage to the circulation of blood decreases flow of blood to the ovaries, and hence a drop in progesterone and estrogen levels.

Though the ovaries and uterus are completely functional, there are chances of hormonal imbalances. Most likely, it’s due to the receptor cell damage in the tubes, which in turn triggers the discharge of hormones.

The syndrome proponents believe that it could probably be ‘doctor caused’ because of improper surgical method.


PTLS Symptoms
There are several symptoms that may indicate PTLS. Some of the key ones are discussed below. Most of the PTLS symptoms are related to hormone shock, menopause or having a progesterone or estrogen imbalance.

The common symptoms are anxiety, joint pain, muscle pain, libido loss, bad cramps and heavy, long periods following tubal ligation, night sweats, hot flashes, and insomnia. Some women may also get to experience irregular periods, which is one of the most common symptoms in those below the age of 30.

Some of the other PTLS symptoms could include hair loss, fatigue, memory loss, flatulence, nausea, mood swings, vaginal dryness, breast tenderness, incontinence, pelvic pain, dizziness, and gas pressure.

How to Deal with PTLS?

Several doctors may take PTLS lightly since it doesn’t exist in the medical books. Some of them might be ready to help, while others may shrug it off. Some of the helpful medical treatments are:

Reversal of Sterilization: Some doctors may suggest reverse tubal ligation. Many women have reported that this has made them feel a lot better. However, this might not work if there was damage to blood supply in the tubal ligation process.

Hysterectomy: Doctors recommend this if the problems are severe. This process hormonally gets the body back to square one and later the doctor prescribes medications for hormonal balance.

Uterine Ablation: Those with heavy or irregular bleeding may have to opt for uterine ablation. Consider this carefully after consultation with your doctor as there may be some side effects.

Hormone Replacement: Your physician might recommend hormonal replacement to assist with hormonal imbalances. They may prescribe this in the form of injections, patches, oral pills or creams.

Thoroughly consider all the options before choosing any. Consult a qualified doctor who can help you make a wise decision.

We hope that you might have got your answer to the basic question – what is PTLS – do take an opinion from your doctor, before proceeding, and this guide should merely be used for informational purposes.