Value of in situ ovarian volume measured during cesarean delivery to assess the potential of diminished ovarian reserve.
OBJECTIVE
We aimed to determine the value of mean ovarian volume (OV) determined by three-dimensional in situ measurement of ovaries during cesarean delivery (CD) to assess the potential of diminished ovarian reserve (DOR) evaluated by hormonal and ultrasonographic parameters 3 months after the cesarean delivery.


METHODS
Each ovary was measured underwent CD in three dimensions, and three months after CD, the mean OV, serum AMH, FSH, LH, and estradiol levels, and antral follicle count (AFC) values were recorded as well as other demographic and obstetric parameters.


RESULTS
After categorizing the study subjects as having a potential of DOR by the criteria of serum AMH <1 pg/mL and AFC value ≤6, in patients with a potential of DOR, the mean intra-operative and post-operative OVs were significantly decreased (p < 0.05). Considering the correlation coefficients obtained by the correlations of post-operative AMH level and AFC value with the mean intra-operative and post-operative OV values, the mean intra-operative OV provided significantly higher correlation coefficients (p < 0.05).


CONCLUSIONS
These findings, overall, support the diagnostic value of mean OV determined by the in situ measurement of three dimensions of left and right ovaries during cesarean delivery for the screening of potential for the DOR.
a Department of Obstetrics and Gynecology and.
Savas
S
Karakus
a Department of Obstetrics and Gynecology and.
Caglar
C
Yildiz
b Department of Biochemistry , Cumhuriyet University School of Medicine , Sivas , Turkey.
Huseyin
H
Aydin
a Department of Obstetrics and Gynecology and.
Ozlem
O
Akkar
a Department of Obstetrics and Gynecology and.
Ali
A
Cetin
D000328:Adult; D054304:Anti-Mullerian Hormone / Q000097:blood; D015415:Biomarkers / Q000097:blood; D002585:Cesarean Section; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D009929:Organ Size; D065851:Ovarian Reserve; D010053:Ovary / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D011247:Pregnancy; D011446:Prospective Studies; D014463:Ultrasonography
D015415:Biomarkers; D054304:Anti-Mullerian Hormone
Anti-Müllerian hormone; antral follicle count; cesarean delivery; diminished ovarian reserve; ovarian volume