Abstract
Objective: To assess a case of infertility and amenorrhea following bilateral internal iliac ligation for post-partum hemorrhage. Review of literature shows only few series evaluating fertility and obstetric performance after bilateral internal iliac ligation. The data reviewed does not appear to have any adverse effect on menstrual / ovarian function or fertility. We have presented an unusual case of amenorrhea and infertility following bilateral internal iliac ligation done for ruptured uterus and PPH. All parameters of pituitary functions were within normal limits ruling out the possibility of Sheehan's syndrome. New investigational modality using color Doppler has clearly shown absent or diminished uterine artery flow velocimetry.
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