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KMID : 0358420120550010017
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 1 p.17 ~ p.21
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Impact of hysterectomy on ovarian reserve in early postoperative period
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Chun Sung-wook
Jeon Gyun-Ho
Cho Hyun-Jin
Ji Yong-Il
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Abstract
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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 signifi cant differences between pre-and postoperative AMH concentration (2.46 ± 0.49 ng/mL and 2.29 ± 0.43 ng/ mL; P = 0.200). No signifi cant 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.
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KEYWORD
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Ovarian reserve, Hysterectomy, Anti-Mullerian hormone
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