title: Menopausal symptoms and psychological distress in women with and without tubal sterilization.
abstract: Data from self-administered mailed questionnaires were used to examine the relationship between menopausal and psychological/psychiatric factors in women age 45-50 years with and without tubal sterilization. In multivariate logistic regression analysis, tubal sterilization was associated with current flushing (odds ratio = 8.78, 95% confidence interval [CI] = 1.58-48.67) and current symptoms of psychological distress (odds ratio = 3.37, 95% CI = 1.27-8.95); psychological distress was associated with tubal sterilization (odds ratio = 3.28, 95% CI = 1.28-8.42) and with being perimenopausal (odds ratio = 3.93, 95% CI = 1.08-14.34). Sterilization was marginally associated with a history of physician-diagnosed depression (univariate age-adjusted odds ratio = 2.24, 95% CI = 0.90-5.60). The menopausal and psychological symptoms of women with tubal sterilization should be taken seriously and treated appropriately.
authors.affiliation: Department of Population and International Health, Harvard School of Public Health, Boston, MA, USA. wyshak@hsph.harvard.edu
authors.forename: Grace
authors.initials: G
authors.lastname: Wyshak
mesh_terms: D000328:Adult; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008593:Menopause / Q000523:psychology*; D008875:Middle Aged; D013246:Sterilization, Tubal / Q000523:psychology*; D011795:Surveys and Questionnaires