Ovarian reserve after internal iliac artery ligation

Aim Ligation of major vessels supplying ovaries may alter hormones and ovarian reserve due to disturbances of vascular circulation. Our purpose is to measure serum anti‐Müllerian hormone (AMH) levels and ovarian volume in patients who had internal iliac artery ligation (IIAL) and/or IIAL plus hyster...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2018-09, Vol.44 (9), p.1761-1765
Main Authors: Mathyk, Begum A., Cetin, Berna A., Atakul, Nil, Koroglu, Nadiye, Bahat, Pinar Y., Turan, Gokce, Yuksel, Ilkbal T.
Format: Article
Language:English
Subjects:
Adult
Anti-Mullerian Hormone - blood
anti‐Müllerian hormone
Cross-Sectional Studies
Female
Hemorrhage
Hormones
Humans
hypogastric artery
Hysterectomy
Hysterectomy - adverse effects
Iliac Artery - surgery
internal iliac artery
Ligation - adverse effects
Ovarian Follicle - physiology
Ovarian Reserve - physiology
ovarian volume
Ovaries
Ovary - anatomy & histology
Ovary - blood supply
Postpartum Hemorrhage - surgery
Postpartum Period
Pregnancy
Uterus
Young Adult
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Summary:Aim Ligation of major vessels supplying ovaries may alter hormones and ovarian reserve due to disturbances of vascular circulation. Our purpose is to measure serum anti‐Müllerian hormone (AMH) levels and ovarian volume in patients who had internal iliac artery ligation (IIAL) and/or IIAL plus hysterectomy due to uterine atony. Methods Patients who underwent IIAL and IIAL+ hysterectomy were evaluated 6 months after their operations and were compared with the control group. The hormones, ovarian volume and antral follicle count (AFC) were measured in each group. Results Serum AMH levels in the post‐partum 6th month interval were lower in the IIAL group than in the control group and were the lowest in the IIAL+ hysterectomy group. Similar to AMH results, AFC and ovarian volumes were also lowest in the IIAL+ hysterectomy group. Conclusion IIAL and hysterectomy are lifesaving interventions during peripartum hemorrhage; however, they might alter ovarian reserve in the short term.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.13719