The goal of this randomized clinical trial is to compare two minimally invasive surgical approaches, transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) and conventional laparoscopy, in women undergoing bilateral tubal ligation or bilateral salpingectomy for sterilization.
The main questions it aims to answer are:
* Does V-NOTES have a different effect on postoperative sexual function compared with conventional laparoscopy?
* Does V-NOTES improve postoperative recovery, including pain, discharge time, and return to normal activity?
* What surgical or medical problems occur with each surgical approach?
* Researchers will compare V-NOTES with conventional laparoscopy to see whether one approach provides better postoperative sexual function and recovery outcomes after sterilization surgery.
Participants will:
* Undergo bilateral tubal ligation or bilateral salpingectomy using either V-NOTES or conventional laparoscopy.
* Complete sexual function questionnaires before surgery, at 6 weeks after surgery, and at 6 months after surgery.
* Be evaluated for postoperative pain, discharge time, return to normal activity, need for additional pain medication, complications, and perioperative laboratory changes.
* Attend scheduled postoperative follow-up visits at 6 weeks and 6 months after surgery.