Effects of three different sterilization methods on utero-ovarian Doppler blood flow and serum levels of ovarian hormones.
OBJECTIVE
The aim of the study was to assess pre-operative and post-operative serum levels of ovarian hormones and changes in utero-ovarian arterial blood flow by Doppler ultrasonography in women in whom one of three different sterilization methods was applied.


METHODS
The Pomeroy method of tubal ligation, fimbriectomy, or laparoscopic bipolar coagulation were applied in 42 patients. Serum levels of sex hormones were checked, and utero-ovarian arterial Doppler measurements were performed pre-operatively and post-operatively. The presence or absence of dysmenorrhea was noted before and after the operations.


RESULTS
We detected a significant increase in the average uterine arterial resistivity index (RI) and both ovarian arterial pulsatility index (PI) values in the Pomeroy method group (p<0.05). There was a significant increase in dysmenorrhea complaints in the total number of patients (p<0.05), particularly in the fimbriectomy group.


CONCLUSIONS
The significant increase in uterine arterial Doppler measurements with the Pomeroy method may be due to the removal of a larger tubal segment. Even though the increase is not statistically significant, fimbriectomy should not be applied in young women, because it may increase dysmenorrhea and the procedure is not reversible.
Kutlar
Irfan
I
Departments of Obstetrics and Gynecology, Gaziantep University, Faculty of Medicine, Milli Egemenlik Bulvari 32/6, 27060 Gaziantep, Turkey. irfankutlar@hotmail.com
Ozkur
Ayhan
A
Balat
Ozcan
O
Ugur
Mete Gurol
MG
Genco
Yilmaz
Y
Aksoy
Fuat
F
D000328:Adult; D001158:Arteries / Q000502:physiology*; D001783:Blood Flow Velocity; D016022:Case-Control Studies; D005260:Female; D012739:Gonadal Steroid Hormones / Q000097:blood*; D006801:Humans; D017078:Laser-Doppler Flowmetry; D010053:Ovary / Q000098:blood supply* / Q000378:metabolism*; D011673:Pulsatile Flow; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000379:methods; D014599:Uterus / Q000098:blood supply*; D014655:Vascular Resistance
D012739:Gonadal Steroid Hormones