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"It also reduces PMS symptoms, cramps, and irregular bleeding." Given these effects, many of the symptoms reported by women claiming to have post-tubal ligation syndrome could, in fact, be a result of coming off the pill rather than a result of the surgery.

In fact, many women are put back on the pill after the surgery to control these very symptoms.

"If someone had told me that the surgery could create a hormone imbalance, I never would have done it," she says.

In the United States, about 10 million women have had their tubes tied -- a procedure called tubal ligation -- as a permanent form of birth control since the 1960s, according to the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics.

This makes it the second most popular method after oral contraceptives, according to the CDC.

The exact number of women who, like Belcher, claim to have post-tubal ligation syndrome -- a range of symptoms including hot flashes, heavier periods, mood swings, depression, anxiety, insomnia, vaginal dryness, mental confusion, and fatigue -- has not been studied, though the syndrome has been a popular topic in Internet chat rooms and support groups.

If you or your loved one has a temporary or long term feeding tube, be sure to know which complications to look out for and which person on your health care team you should contact if you encounter a problem with the feeding tube while at home.

May 1, 2000 (Portland, Ore.) -- When Susan Belcher of Lockport, Ill., had her tubes tied at age 34, she thought the procedure would be simple.

They found that women who had been on the pill reported heavier bleeding, cramping, and other symptoms after the surgery; women on the IUD reported less; and women using barrier methods like diaphragms reported no change in the amount of bleeding, cramping, or other symptoms.

C., and clinical professor in the department of obstetrics and gynecology at the University of North Carolina School of Medicine, agrees.

"The pill can cut the amount of menstrual bleeding by as much as half," he says.

A feeding tube is used to deliver nutrition directly into the stomach or the intestine for people who can't swallow food on their own.

Some common reasons why a person would need a feeding tube include: Feeding tubes are helpful for people who are unable to feed themselves as a result of an acute illness or surgery, but who otherwise have a reasonable chance to recover.While these complications arise very rarely (perhaps in two per 1,000 procedures, according to Herbert Goldfarb, MD, assistant clinical professor at the New York University of Medicine's department of obstetrics and gynecology), the patient should be aware that they can and do occur -- which is why she signs a consent form before the surgery.

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