The evaluation of the effect of bilateral tubal ligation and bilateral salpingectomy on ovarian reserve
Keywords:Bilateral Tubal Ligation, Bilateral Salpingectomy, Anti-Mullerian Hormone, Follicle Stimulating Hormone, Ovarian Reserve
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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