Effect of tubal ligation on ovarian reserve and the ovarian stromal blood supply.
OBJECTIVE
Our aim was to evaluate possible adverse effects of tubal ligation on ovarian reserve and ovarian stromal vascular support.


METHODS
Ninety-one women who underwent tubal ligation, using a modified Pomeroy technique, were studied. The main outcome measurements were serum follicle stimulating hormone, luteinising hormone and oestradiol levels, ovarian volume, number of antral follicles and Doppler study of ovarian stromal artery on the third day of the menstrual cycle immediately before, 1 month and 12 months after the surgical intervention.


RESULTS
Statistically significant elevation of follicle stimulating hormone levels was observed at 1 and 12 months after tubal ligation (P < 0.05).


CONCLUSIONS
Doppler flow studies of the ovarian stromal arteries showed that there were no significant differences before and after tubal ligation.
Kelekci
Sefa
S
Suleymaniye Maternity Hospital, Family Planning Unit, Istanbul, Turkey. sefamed@hotmail.com
Yorgancioglu
Zehra
Z
Yilmaz
Bülent
B
Yasar
Levent
L
Savan
Kadir
K
Sonmez
Suha
S
Kart
Cavit
C
D000328:Adult; D004958:Estradiol / Q000378:metabolism; D005260:Female; D005640:Follicle Stimulating Hormone / Q000378:metabolism; D015571:Follicular Fluid / Q000378:metabolism; D006801:Humans; D007986:Luteinizing Hormone / Q000378:metabolism; D010053:Ovary / Q000098:blood supply*; D011182:Postoperative Care; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
D004958:Estradiol; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone