Bilateral tüp ligasyonu ve bilateral salpenjektominin over rezervi üzerine etkisinin değerlendirilmesi
DOI:
https://doi.org/10.5281/zenodo.6768612Anahtar Kelimeler:
Bilateral Tüp Ligasyonu, Bilateral Salpenjektomi, Anti-Müllerian Hormon, Folikül Uyarıcı Hormon, Yumurtalık RezerviÖzet
Amaç: Bilateral salpenjektomi ve bilateral tubal ligasyonu laparoskopik tubal sterilizasyon prosedürleridir. Bu prosedürler over perfüzyonuna katkıda bulunan over ve uterin arterlerin oluşturduğu anastomozları etkilemektedir, Çalışmada prosedürlerin over rezervine etkisinin olup olmadığının incelenmesi amaçlanmıştır. Gereç-Yöntem: Bu prospektif çalışma 29'u bilateral tubal ligasyonu, 29'u bilateral salpenjektomi ve 29'u kontrol grubu olan 87 kadın dahil edildi. Preoperatif (0.ay), postoperatif 1. ay ve postoperatif 3. ayda adetin 3. gününde Anti-Müllerian Hormon düzeyleri ile Folikül Stimülan Hormon ve Estradiol düzeyleri analiz edilmiştir. Bulgular: Bilateral tubal ligasyonu, bilateral salpenjektomi ve kontrol grubu ile karşılaştırıldığında preoperatif, postoperatif 1. ve 3. ay AMH düzeyleri açısından istatistiksel olarak anlamlı bir fark bulunamamıştır. (sırasıyla p= 0.906; p= 0.81 ve p= 0.182). Sonuç: Her iki işlem de etkili sterilizasyon yöntemidir ve FSH, E2 ve AMH seviyelerine bakıldığında yumurtalık rezervi üzerinde olumsuz bir etki tespit edilmemiştir.Referanslar
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