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Journal of the Society for Gynecologic Investigation, Vol. 12, No. 1, 54-57 (2005)
DOI: 10.1016/j.jsgi.2004.07.004

Ovarian Changes After Abdominal Hysterectomy for Benign Conditions

Carina C.W. Chan, MRCOG

Department of Obstetrncs and Gynaecology, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, PRC; Department of Obstetnrcs and Gynaecology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, People's Republic of China

Ernest H.Y. Ng, MRCOG

Pak-Chung Ho, FRCOG

Department of Obstetnrcs and Gynaecology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, People's Republic of China

Objectives: To investigate any change in the ovaries, including earlyfollicular serumfollicle-stimulating hormone (FSH) level, total ovarian volume, total antralfollicle count, and ovarian stromal bloodflow, in patients who had undergone abdominal hysterectomy for benign conditions.

Methods: Fifteen women with abdominal hysterectomy and conservation of ovariesfor benign conditions and who were between 29 and 44 years old were recruited to undergo three-dimensional ultrasound examination with power Doppler to assess total ovarian volume, total antralfollicle count, and vascularization index (VI), flow index (FI), and vascularization flow index (VFI) of ovarian stromal blood flow. Serum FSH, estradiol, and progesterone levels were checked on the same day. The results of the assessments were considered taken during the early follicular phase if the estradiol and progesterone levels were basal. Fifteen age-matched healthy women underwent the same assessments on the second day of menstruation.

Results: Women with hysterectomy had significantly elevated serum FSH level and lower ovarian stromal bloodflow indices, including VI, FI, and VFI, as compared with healthy women. The total antral follicle count and the total ovarian volume were similar between the two groups.

Conclusion: These changes may suggest altered ovarian function after hysterectomy.

Key Words: FSH • hysterectomy • ovarian stromal blood flow • three-dimensional ultrasound


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