Clinical and pathologic characteristics of women undergoing hysterectomy after tubal sterilization.

Abstract:

OBJECTIVE:To examine differences in clinical and pathologic characteristics between women undergoing hysterectomy who had had prior tubal sterilization and those who had not. METHODS:One thousand eight hundred fifty-one women undergoing hysterectomy were enrolled as part of a multicenter, prospective cohort study. We used logistic regression to describe the association between prior tubal sterilization and patient characteristics at hysterectomy. RESULTS:Although sterilized women were not more likely than nonsterilized women to have a menstrual disorder as a presenting complaint, they were more likely to have a primary discharge diagnosis of menstrual disorder (odds ratio [OR] 1.5, 95% confidence interval [CI] 1.2-2.0). After adjustment for menstrual indices, sterilized women had an increased probability of having normal findings on pathologic examination, which differed by age (women less than 30 years: OR 3.4, 95% CI 2.0-5.8; women 30 years of age and older: OR 1.7, 95% CI 1.3-2.3). CONCLUSION:Differences in clinical and pathologic characteristics between sterilized and nonsterilized women suggest that nonbiologic factors may influence decision making regarding hysterectomy among sterlized women.

journal_name

Obstet Gynecol

authors

Hillis SD,Marchbanks PA,Peterson HB

doi

10.1016/0029-7844(96)00149-4

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

246-50

issue

2

eissn

0029-7844

issn

1873-233X

pii

0029-7844(96)00149-4

journal_volume

88

pub_type

临床试验,杂志文章,多中心研究
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