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With the introduction in the 1970s of laparoscopy (the so-called "belly button surgery"), which was less invasive than previous surgeries, more women than ever before chose tubal ligation, and reports of postoperative symptoms increased, says Corson. According to Corson and other doctors looking into post-tubal ligation "syndrome," it may actually be a combination of discontinuing the use of birth control pills and age-related factors.David Grimes, MD, vice president of biomedical affairs at Family Health International in Chapel Hill, N.

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 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.One landmark study published in 1976 in the Southern Medical Journal compared women's postsurgery menstrual cycles, taking into account their previous birth control method.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.She signed a consent form before the surgery and was told by her doctor that she should expect to have few -- if any -- side effects.