title: Basal FSH level changes after different types of uterine vessel occlusion in the management of uterine fibroids.
abstract: OBJECTIVE
  To assess the effect on FSH of the application of different types of uterine vessel blockage (uterine artery occlusion alone [UAO] or with blockage of vessel anastomosis [UVO]) in the management of women with fibroids.
  
  
  METHODS
  Case-control study.
  
  
  METHODS
  Medical center.
  
  
  METHODS
  One hundred ten women with uterine fibroids.
  
  
  METHODS
  Forty-four consecutive patients undergoing UAO were compared with 66 matched subjects who underwent UVO during the same period.
  
  
  METHODS
  Surgery types and FSH levels were compared.
  
  
  RESULTS
  At the first month after surgery, FSH levels were elevated from 5.5 mIU/mL to 14.2 and 8.7 mIU/mL in the UVO and UAO groups, respectively. The difference between the 2 groups continued up to 6 months and disappeared thereafter. More patients (38%) in the UVO group had an increased FSH level of >10 mIU/mL, compared with 5% in the UAO group at the first month after surgery, which contributed to the high percentage of women with irregular menstruation.
  
  
  CONCLUSIONS
  Women treated with UVO were associated with a greater risk of a significant increase in FSH level at the first month after operation than those treated with UAO, which may be a reflection of diminished ovarian function. The long-term effect was uncertain, because of the lack of difference in the FSH levels between the two groups.
authors.affiliation: Institute of Clinical Medicine, Institute of Biochemistry, National Yang-Ming University School of Medicine, and Department of Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan.
authors.forename: Wen-Ling
authors.initials: WL
authors.lastname: Lee
authors.forename: Wei-Min
authors.initials: WM
authors.lastname: Liu
authors.forename: Jong-Ling
authors.initials: JL
authors.lastname: Fuh
authors.forename: Ying-Chieh
authors.initials: YC
authors.lastname: Tsai
authors.forename: Chun Che
authors.initials: CC
authors.lastname: Shih
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000145:classification / Q000379:methods / Q000534:rehabilitation; D016022:Case-Control Studies; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood*; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods / Q000534:rehabilitation; D007889:Leiomyoma / Q000097:blood / Q000098:blood supply / Q000601:surgery*; D055988:Uterine Artery / Q000601:surgery*; D055357:Uterine Artery Embolization / Q000379:methods / Q000534:rehabilitation; D014594:Uterine Neoplasms / Q000097:blood / Q000098:blood supply / Q000601:surgery*; D014599:Uterus / Q000098:blood supply / Q000601:surgery*
chemical_list: D005640:Follicle Stimulating Hormone