Psychosomatics 45:403-413, October 2004
© 2004 The Academy of Psychosomatic Medicine
Menopausal Symptoms and Psychological Distress in Women With and Without Tubal Sterilization
Grace Wyshak, Ph.D., M.S. HYG.
Received June 12, 2003; revision received Nov. 5, 2003; accepted Nov. 24, 2003. From the Department of Population and International Health, Harvard School of Public Health. Address correspondence to Dr. Wyshak, Department of Population and International Health, Harvard School of Public Health, 665 Huntington Ave., Boston, MA 02115; wyshak{at}hsph.harvard.edu (e-mail).
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.
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