title: Ovarian reserve testing before and after laparoscopic tubal bipolar electrodesiccation and transection.
abstract: OBJECTIVE
  To find out whether tubal sterilization leads to loss of ovarian reserve, we assessed the hormonal and ultrasonographic parameters of ovarian reserve in women who underwent laparoscopic tubal sterilization by bipolar electrodesiccation and transection.
  
  
  METHODS
  In this preliminary study, laparoscopic tubal sterilization was performed on 49 healthy women who had voluntarily requested elective surgical sterilization. Among the current ovarian reserve indicators, in the early proliferative phases, preoperative (baseline) and postoperative (third month) serum follicle-stimulating hormone (FSH), estradiol (E2), and anti-Mullerian hormone (AMH) levels, ovarian volume, and antral follicle counts (AFCs) were determined. Analysis of these hormonal and ultrasonographic parameters of ovarian reserve preoperatively and postoperatively was the main outcome measure.
  
  
  RESULTS
  Preoperative and third-month postoperative FSH, LH, E2, and AMH levels did not reveal statistically significant differences (p=0.101, p=0.180, p=0.254, and p=0.079; respectively). The ultrasonographic indicators of ovarian reserve did not change in terms of total ovarian volume and total AFC (p=0.793 and p=0.098, respectively).
  
  
  CONCLUSIONS
  Short-term follow-up study results revealed a slight but non-significant change in the current ovarian reserve markers, especially in the AMH levels.
authors.affiliation: Gulhane Military Medical Academy, Obstetrics and Gynecology Department, 06018 Etlik, Ankara, Turkey. ercanmutlu@yahoo.com
authors.forename: Cihangir Mutlu
authors.initials: CM
authors.lastname: Ercan
authors.forename: Mehmet
authors.initials: M
authors.lastname: Sakinci
authors.forename: Hakan
authors.initials: H
authors.lastname: Coksuer
authors.forename: Ugur
authors.initials: U
authors.lastname: Keskin
authors.forename: Serkan
authors.initials: S
authors.lastname: Tapan
authors.forename: Ali
authors.initials: A
authors.lastname: Ergun
mesh_terms: D000328:Adult; D054304:Anti-Mullerian Hormone / Q000097:blood*; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010053:Ovary / Q000166:cytology* / Q000502:physiology; D011247:Pregnancy; D011446:Prospective Studies; D013246:Sterilization, Tubal
chemical_list: D054304:Anti-Mullerian Hormone