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Comparing the Effect of Hysterectomy with and without Salpingectomy on Preserving Ovarian Reserve
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Sh Yazdani    , R Mehraein , M Mohammad Pour , S Khafri , A Ghanbarpour * |
| 1.Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran. , dr_ghanbarpour@yahoo.com |
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Abstract: (326 Views) |
Background and Objective: Ovarian cancer has the highest mortality rate among all types of women's cancers. Several malignancies currently classified as ovarian cancer may arise in the fallopian tube epithelium. Therefore, prophylactic removal of the tubes may result in a reduced risk of malignancy. Salpingectomy appears to reduce ovarian reserve, although some studies have suggested otherwise. The aim of this study is to investigate the effect of prophylactic salpingectomy on ovarian reserve.
Methods: This single-blind clinical trial was conducted on 53 women of reproductive age (<45 years) with FSH<10 who were candidates for abdominal hysterectomy with ovarian preservation and referred to Rouhani Hospital in Babol in 2020 and 2021. One group of patients underwent abdominal hysterectomy with ovarian preservation and simultaneous salpingectomy (27 patients) and the other group underwent no salpingectomy (26 patients). Ovarian volume and antral follicle count were measured by ultrasound, while FSH and AMH levels were measured in the laboratory before and three months after surgery and were compared.
Findings: According to the results, FSH significantly increased three months after surgery compared to before surgery in all patients and in both groups (p<0.001), but AMH, antral follicle count, and ovarian volume showed a significant decrease (p<0.001). There was no statistically significant difference between the two study groups in terms of mean FSH, AMH, ovarian follicle count, and ovarian volume three months after surgery.
Conclusion: Our results showed that decreased ovarian function after surgery was not associated with salpingectomy. Therefore, prophylactic salpingectomy can be recommended to prevent ovarian cancer. |
Article number: e7 |
| Keywords: Hysterectomy, Salpingectomy, Ovarian Reserve. |
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Full-Text [PDF 261 kb]
(77 Downloads)
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Type of Study: Interventional |
Subject:
Obstetrics and Gynecology
Received: 2024/11/4 | Accepted: 2025/02/2 | Published: 2026/02/28
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