Abstract
Background
The purpose of this study is to compare the effects of tubal sterilization on the
ovarian reserve by means of hormonal and ultrasonographic evaluation during a cesarean
section or when performed as a planned interval procedure.
Study Design
Fifty women who had undergone tubal sterilization during a cesarean section (n=24) and by minilaparotomy as an elective procedure (n=26) were included in the study. Tubes were ligated with the Pomeroy technique in
both groups. The women who had chosen to use barrier method or intrauterine device
for contraception (n=30) constituted the control group. Among the women in the control group, two separate
control groups were constituted (control 1 and control 2) who were age matched with
the women in each study group. Hormone levels including antim��llerian hormone (AMH)
and inhibin B and ultrasonographic evaluations were performed on the third day of
the menstrual cycle 1 year after the tubal sterilization procedure.
Results
Mean blood estradiol, follicle stimulating hormone and luteinizing hormone levels
on the third day of the cycle postoperative 12 months after the surgical intervention
did not show any significant differences in the groups with respect to their age-matched
controls. There was no significant difference in terms of mean serum AMH and inhibin
B levels between the groups and their age-matched controls. However, significantly
higher postoperative levels of mean AMH levels were detected in the tubal sterilization
during cesarean section group when compared with the minilaparotomy group, and significantly
lower postoperative levels of mean inhibin B were detected in the elective tubal sterilization
via minilaparotomy group when compared with the cesarean section group. Statistically
significant differences were observed in terms of number of antral follicles and mean
ovarian volumes being less in the elective tubal sterilization via minilaparotomy
group when compared with age-matched controls.
Conclusion
Intraoperative cesarean section tubal sterilization seems to be a practical and safe
method, and has less effect on the ovarian reserve when compared with planned tubal
sterilization by minilaparotomy.
Keywords
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Article info
Publication history
Published online: April 23, 2012
Accepted:
March 5,
2012
Received in revised form:
February 25,
2012
Received:
November 27,
2011
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
