Until recently tubal ligation seemed like a relatively safe and effective solution as a contraception post childbirth. We started to have more and more women complain that following a tubal ligation, their hormonal issues became worse and a raft of issues developed following the procedure. This lead us to investigate further and discovered that for some women, not all, but enough to warrant concern, that a tubal ligation may not have been the best choice.

The relatively innocuous procedure seems on the surface to be a great solution to prevent pregnancy however it seems that the blood flow to the ovaries is semi dependent upon the pathway of the fallopian tubes. This blood flow allows for correct oxygenation of the ovaries as well as chemical messaging of hormones and other blood chemicals. When this blood supply is restricted then additional hormonal issues begin to develop.

Another theory is that certain target or receptor cells that are important in the transmission of hormonal messaging are damaged or removed during the tubal ligation. These receptor cells are integral for the correct messaging of hormonal signals in the brain via the hypothalamus and pituitary axis which controls hormone levels.

Hence the possibility of reduced blood supply to the ovaries and dysfunction of the receptor cells, flow on effects to the larger endocrine and hormonal system can eventuate. Several studies have shown increased menstrual difficulties post tubal ligation especially in the age group of 20 to 29 when the blood supply is most prevalent.

Symptoms that have been reported following a post tubal ligation are listed below however its important to note that these symptoms are wide and varied. It is hard to pinpoint exact symptoms however the variety of reported symptoms suggest that the effect is systemic. List taken from Tubal.org

  1. Ectopic pregnancy or pregnancy (well known risk of tubals)
  2. Hot flashes, flushes, night sweats and/or cold flashes, clammy feeling, chills
  3. Bouts of rapid heart beat
  4. Irritability
  5. Mood swings, sudden tears
  6. Trouble sleeping through the night (with or without night sweats)
  7. Irregular periods; shorter, lighter periods; heavier periods, flooding; phantom periods, shorter cycles, longer cycles
  8. Loss of libido
  9. Dry vagina
  10. Itchy vagina-at time raw like, can radiated from whole area, with absence of yeast infections.
  11. Color change in vaginal area. (color gets darker -darker red to purple)
  12. Crashing fatigue – Chronic Fatigue
  13. Anxiety, feeling ill at ease
  14. Feelings of dread, apprehension, doom
  15. Difficulty concentrating, disorientation, mental confusion
  16. Disturbing memory lapses
  17. Incontinence, especially upon sneezing, laughing; urge incontinence
  18. Prolapse of uterus do to rapid decrease in estrogen levels.
  19. Itchy, crawly skin
  20. Aching, sore joints, muscles and tendons
  21. Increased tension in muscles
  22. Breast tenderness
  23. Decrease in breast mass
  24. Headache change: increase or decrease
  25. Gastrointestinal distress, indigestion, flatulence, gas pain, Irritable bowel syndrome (IBS)
  26. Sudden bouts of bloat
  27. Depression
  28. Exacerbation of existing conditions
  29. Allergies developing or increasing – (Chronic sinusitis).
  30. Nasal infections-necessitating antibiotics
  31. Weight gain
  32. Hair loss or thinning, head, pubic, or whole body; increase in facial hair
  33. Dizziness, light-headedness, episodes of loss of balance
  34. Changes in body odour
  35. Electric shock or stabbing sensation under the skin.
  36. Tingling in the extremities
  37. Gum problems, increased bleeding
  38. Burning tongue, burning roof of mouth, bad taste in mouth, change in breath odour
  39. Osteoporosis (after several years )
  40. Changes in fingernails: softer, crack or break easier
  41. Stabbing pains in pelvic area at time of ovulation
  42. Pelvic Pain
  43. Development of Adenomyosis
  44. Development of Ovarian/Tubal Cysts
  45. Decreased Lactation Ability


In our opinion this information is important to be aware of if you are considering a tubal ligation and if you have already had a tubal ligation to investigate if there may be a link with your symptoms.

If your issues seem linked then there is the option to have it reversed and hope that the circulation can be restored as well as looking at herbal options to correct the imbalance that has developed. Happy Hormones is an option to consider in this situation.

Scientific evidence: https://www.ncbi.nlm.nih.gov/pubmed/1510083


About Jeff Butterworth:

Jeff Butterworth B.App. Sc, N.D is a Naturopath with over 20 years experience specialising in treating hormonal disorders. Jeff developed the Happy Hormones program after discovering a unique way of treating hormonal disorders - by focusing on endocrine balance rather than hormonal levels - which gives long-lasting and dramatic results.