Symptoms of PTLS and PCOS


Most of the women suffer from PTLS (Post tubal ligation syndrome) after undergoing the tubal ligation process. It is an iatrogenesis disorder, which means doctor-produced or doctor-caused ailment. PTLS is the frequent result of a fast drop of progesterone/estrogen hormone levels produced by the blood supply being injured to the ovaries at the time of tubal ligation surgery.  On the other hand, PCOS is a hormonal disorder and nearly 12-18% of women of reproductive age, are affected by PCOS (Polycystic Ovary (Ovarian) Syndrome) and it can be complex condition to recognise as there are many symptoms related to it. In this article, let us learn few symptoms of PTLS and PCOS for our better understanding.

PTLS Symptoms

Most of the symptoms of PTLS are related with estrogen/progesterone imbalance and menopause. The other symptoms include heavy periods, which would be painful and might be caused due to hormonal imbalance or by adenomyosis condition in which the internal lining of the uterus (endometrium) breaks through the muscle wall of the uterus or may be due to TL surgery, which would have impaired the blood supply to the areas of that muscle/organ or can be a combination of both. Also, pain can be due to retro bleeding backing into the closed fallopian tubes. Below listed are few more symptoms of PTLS.


  • Hot flashes, flushes, cold flashes, chills, clammy feeling and night sweats
  • Irritability
  • Ectopic Pregnancy
  • Bouts of rapid heart beat
  • Mood Swings
  • Difficulty in Sleeping
  • Loss of libido
  • Irregular Periods, lighter, shorter, heavier, shorter cycles, longer cycles
  • Dry vagina and other disorders like itchy vagina and color changes
  • Anxiety and Depression
  • Headache
  • Breast tenderness
  • Gastrointestinal distress, flatulence, indigestion, nausea, gas pain,
    Irritable bowel syndrome
  • Weight gain
  • Sudden bouts of bloat

PCOS (Polycystic Ovary (Ovarian) Syndrome) Symptoms

Most of the PCOS symptoms are due to high levels of androgens flowing in your body, producing ‘hyperandrogenism’. The Androgens are even known as ‘male’ hormones, and the foremost one is testosterone. A small amount of androgens in tissues comprising of the ovaries and adrenal glands are produced by all women, but if a high level of androgens are produced, it can affect the menstrual cycle and prevent ovulation. Below listed are few symptoms of PCOS.

  • Infertility and Periods: Immature ovarian eggs that do not ovulate; many cysts on your ovaries; problems in becoming pregnant; No periods, heavy periods, irregular periods and infrequent periods
  • Skin and Hair: Acne on face or body, darkened skin patches, excess facial and body hair, scalp hair loss
  • Mental and Emotional Health: Anxiety, depression, mood changes
  • Sleep Disorder: Sleep apnoea, a sleep disorder where there are unusual pauses of breathing during sleep.

These are few symptoms of PTLS and PCOS, which need to be understood and treatment has to be taken accordingly.