“…12 Hysterectomy due to prolonged menstrual complaints is an entity at the other end of the spectrum of post tubal ligation syndrome. 9,13,14 In 1993 Goldhaber et al analyzed hospital data of 39502 sterilized women with 40505 comparison women matched on age, race, parity and interval since birth. 15 Sterilized women were significantly more likely than were comparison women to undergo hysterectomy (RR = 1.35, 95% CI 1.26-1.44), especially for diagnoses of menstrual dysfunction and pelvic pain (RR = 1.88, 95% CI 1.65-2.13).…”