[Is tubal and uterine surgery deleterious to ovarian reserve?].
Changes in menstrual pattern after tubal sterilisation have been reported for more than 50 years. Hence all tubal surgeries have been suspected of altering the ovarian reserve, by damage to the ovarian blood vessels. Recent studies showed that tubal surgery has no significant adverse effect on doppler flow indice and hormonal markers. Hysterectomy and uterine artery embolization seem to decrease ovarian reserve in perimenopausal women. Uterine artery embolization does not seem to have adverse effects on normally functioning ovaries.
Belaisch-Allart
J
J
Service de gynécologie-obstétrique et reproduction humaine, CHI de Chaville, Saint-Cloud, Sèvres, Ville d'Avray, site de Sèvres, 141, Grande-Rue, 92318 Sèvres cedex, France. jbelaisch@promptomail.com
Mayenga
J-M
JM
Castaing
N
N
Allart
J-P
JP
D001158:Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply* / Q000502:physiology*; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome