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Obstet Gynecol Sci > Volume 55(1); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(1):17-21.
DOI: https://doi.org/10.5468/KJOG.2012.55.1.17    Published online January 1, 2012.
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
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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