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Chun, Jeon, Cho, and Ji: Impact of hysterectomy on ovarian reserve in early postoperative period
Original Article
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(1): 17-21.

Published online: 16 January 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.1.17

Impact of hysterectomy on ovarian reserve in early postoperative period

Sungwook Chun, MD, Gyun Ho Jeon, MD, Hyun Jin Cho, MD, Yong Il Ji, MD

Department of Obstetrics and Gynecology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Corresponding author: Yong Il Ji, MD. Department of Obstetrics and Gynecology, Haeundae Paik Hospital, Inje University College of Medicine, 1435 Jwa-dong, Haeundae-gu, Busan 612-030, Korea. Tel: +82-51-797-2020, Fax: +82-51-797-2030, jyimd@lycos.co.kr

Received 24 August 2011       Accepted 12 October 2011

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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-Müllerian 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.

Keywords: Ovarian reserve, Hysterectomy, Anti-Müllerian hormone

Figures and Tables

Table 1
Baseline characteristics and anti-Müllerian hormone (AMH) data of the study group
kjog-55-17-i001

Values are presented as mean±standard error.

AMHpreop, preoperative AMH level; AMHpostop, postoperative AMH level.

aAMH change: (AMHpostop - AMHpreop)/AMHpreop × 100 (%).

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