Impact of hysterectomy on ovarian reserve in early postoperative period. |
Sungwook Chun, Gyun Ho Jeon, Hyun Jin Cho, Yong Il Ji |
Department of Obstetrics and Gynecology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. jyimd@lycos.co.kr |
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Abstract |
OBJECTIVE The aim of this study was to evaluate the changes of the ovarian reserve in early postoperative period after hysterectomy in Korean women. METHODS: We retrospectively reviewed the medical records and laboratory data of patients aged 30-50 years with regular menstruation before hysterectomy, and 31 patients were included in this study. All patients enrolled underwent scheduled hysterectomy with conservation of both ovaries (laparoscopy-assisted vaginal hysterectomy, n = 21; and total abdominal hysterectomy, n = 10), and received serum anti-Mullerian hormone (AMH) tests preoperatively and 3 days after operation. Changes between preoperative and postoperative AMH levels of each patient were calculated. RESULTS: There were no significant differences between pre- and postoperative AMH concentration (2.46 +/- 0.49 ng/mL and 2.29 +/- 0.43 ng/mL; P = 0.200). No significant percentage reduction of AMH level existed (1.17 +/- 6.63%, P = 0.861). CONCLUSION: Our results suggest that hysterectomy does not influence the ovarian reserve in early postoperative period. |
Key Words:
Ovarian reserve, Hysterectomy, Anti-Mullerian hormone |
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