Background: Tubal sterilization is a prevalent method of contraception globally, recognized for its efficacy and safety. Despite its benefits, the long-term psychological effects, especially its relationship with depression and anxiety, remain inadequately explored. Aims and Objective: This study aims to investigate the psychological outcomes of tubal sterilization, focusing on the prevalence of depression and anxiety among women who have undergone the procedure and identifying factors influencing these outcomes. Methods: A descriptive cross-sectional design was employed, targeting women aged 18-50 years who had undergone tubal sterilization at least one year prior. Data were collected via structured questionnaires and semi-structured interviews, assessing demographic, surgical, psychosocial variables, and psychological outcomes. Statistical analyses included chi-square tests and logistic regression. Results: Of the 453 women approached, 289 participated. The prevalence of regret was 13.5%, with no significant correlation with age or parity. Anxiety and depression were present in 24.23% and 18% of participants, respectively. No significant association was observed between age and parity of the study participants and post-sterilization regret. Conclusion: Tubal sterilization does not significantly affect long-term psychological outcomes in terms of regret, anxiety, and depression. However, a subset of women experience regret and psychological disturbances, underscoring the need for thorough preoperative counseling and follow-up.
Keywords: Tubal sterilization, contraception, psychological outcomes, depression, anxiety, regret