Cihan Kaya1, Hürriyet Turgut2, Hüseyin Cengiz3, Ayşenur Turan4, Murat Ekin3, Levent Yaşar3. 1. Van Özalp State Hospital, Clinic of Obstetrics and Gynecology, Van, Turkey. Electronic address: drcihankaya@gmail.com. 2. Bakırköy Dr Sadi Konuk Training and Research Hospital, Department of Pathology, Istanbul, Turkey. 3. Bakırköy Dr Sadi Konuk Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey. 4. İstanbul University, Faculty of Health Sciences, Division of Midwifery, Istanbul, Turkey.
Abstract
OBJECTIVE: To investigate the effects of tubal sterilization techniques on the ovarian reserve and serum anti-Müllerian hormone (AMH) levels in rats. STUDY DESIGN: Wistar Hannover rats (n=21) were assigned to the following 3 groups (7 rats/group): Pomeroy technique, bipolar electrocauterization, and control. Pre- and postoperative serum AMH levels, ovarian damage and ovarian follicle counts were assessed. RESULTS: Total ovarian damage was higher in the electrocauterization group than in the Pomeroy (p=0.008) and control (p<0.0001) groups. The large antral follicle count was higher in the Pomeroy group than in the electrocauterization (p=0.023) and control (p=0.003) groups. The electrocauterization group had a greater decrease in postoperative serum AMH levels than the Pomeroy and control groups (p=0.031). CONCLUSION: Bipolar electrocauterization may have a negative effect on the ovarian structure and ovarian reserve compared to the Pomeroy technique.
OBJECTIVE: To investigate the effects of tubal sterilization techniques on the ovarian reserve and serum anti-Müllerian hormone (AMH) levels in rats. STUDY DESIGN: Wistar Hannover rats (n=21) were assigned to the following 3 groups (7 rats/group): Pomeroy technique, bipolar electrocauterization, and control. Pre- and postoperative serum AMH levels, ovarian damage and ovarian follicle counts were assessed. RESULTS:Total ovarian damage was higher in the electrocauterization group than in the Pomeroy (p=0.008) and control (p<0.0001) groups. The large antral follicle count was higher in the Pomeroy group than in the electrocauterization (p=0.023) and control (p=0.003) groups. The electrocauterization group had a greater decrease in postoperative serum AMH levels than the Pomeroy and control groups (p=0.031). CONCLUSION: Bipolar electrocauterization may have a negative effect on the ovarian structure and ovarian reserve compared to the Pomeroy technique.
Authors: Christine R Langton; Brian W Whitcomb; Alexandra C Purdue-Smithe; Lynnette L Sievert; Susan E Hankinson; JoAnn E Manson; Bernard A Rosner; Elizabeth R Bertone-Johnson Journal: Menopause Date: 2021-12-06 Impact factor: 2.953