Effect of Hysterectomy with Ovarian Conservation on Ovarian Function.

Background: Hysterectomy is the commonest gynecological surgery in females. The aim of this study was to assess the effect of doing hysterectomy with ovarian conservation on the ovarian function. Methods: It was an observational cross-sectional study which was conducted in the department of obstetrics and gynecology, Zagazig University Hospitals on 80 cases scheduled to undergo hysterectomy with ovarian preservation due to benign condition during the period from August 2015 to August 2018. Participants were subjected to assessment of ovarian function by ultrasonographic assessment of ovarian volume, morphology and hormonal levels pre-operative and postoperative. The research was accepted by the Institutional Review Board of the Faculty of Medicine in Zagazig University. The research was done according to the Code of Ethics of the World Medical Association (Declaration Helsinki) for Studies involving humans. Results: There was a statistically non-significant decrease in FSH level preoperatively to one month postoperatively that significantly increased again three months postoperatively.. There was a non-significant difference between right ovarian volume preoperatively and one month postoperatively. There was a significant difference between right ovarian volume preoperatively and three months postoperatively. Conclusions: we concluded that there was no evidencve of adverse effect on the ovarian function of the conserved ovaries 3 months after doing hysterectomy in premenopausal patients as by hormonal and U/S criteria. [ABSTRACT FROM AUTHOR]

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