The evaluation of the effect of bilateral tubal ligation and bilateral salpingectomy on ovarian reserve
- 1. Department of Obstetrics and Gynecology, Selcuk University Faculty of Medicine, Konya, Turkey
- 2. Department of Obstetrics and Gynecology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
- 3. Department of Biochemistry, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
- 4. Department of Obstetrics and Gynecology, Ancyra Clinic, Ankara, Turkey
Description
Aim: We aimed to analyze if the laparoscopic tubal sterilization
procedures, bilateral salpingectomy (BS) and bilateral tubal ligation
(BTL) had an effect on ovarian reserve, due to affection of anastomoses
formed by ovarian and uterine arteries which contribute ovarian
perfusion. Materials and Methods: This prospective cohort study
included 87 women of whom 29 had BTL, 29 BS and 29 control group.
Anti-mullerian hormone (AMH) levels and Follicle Stimulating Hormone
(FSH) and Estradiol (E2) levels on 3rd day of menses were examined
preoperatively (0.month), postoperative 1st month and postoperative
3rd month. Results: There were not a statistically significant difference
in terms of preoperative, postoperative 1st and 3rd month AMH levels
compared in BTL, BS and control group. (p= 0.906; p= 0.81 and p=
0.182, respectively). Conclusions: Both of the two procedures are
effective sterilization methods and we did not find a negative impact
on the ovarian reserve when FSH, E2 and AMH levels were analyzed.
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