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Corresponding Author

Khaled Fathi Esmail Abo El-Soud

Document Type

Original Article

Abstract

Background: One of the most frequent operations in gynecological practice worldwide is salpingectomy. Ectopic pregnancies and salpingitis (such as symptomatic hydro or pyosalpinx) are common causes.

Aim and objectives: This trial aims to look at how ovarian reserve is affected by either a bilateral or unilateral salpingectomy or tubal disconnection.

Patients and methods: This was a Prospective Cohort research done on eighty cases of infertile women with a previous unilateral or bilateral hydrosalpinx and indicated for salpingectomy attending the outpatient clinics at El Hussein Maternity Hospital and Assisted Reproduction Unit, Faculty of Medicine, Al-Azhar University from February 2020 to December 2022.

Results: Our results showed that whether pre- or post-operatively, there was no statistically significant alteration between mean AMH, LH, FSH & E2 levels in patients with unilateral and bilateral hydrosalpinx.Regarding the correlation between age and different variables pre-operatively, there was a statistically significant inverse (negative) correlation between ages, AMH, number of Antral follicles, and E2. A direct (positive) connection between the number of antral follicles, LH, anti-Mullerian hormone, & E2 was shown to be statistically significant, regardless of whether the correlation was measured before or after the operation. The number of antral follicles was negatively correlated with FSH, which was statistically significant. The direct relationship among the number of antral follicles, LH, and E2 was statistically significant.

Conclusion: It appears that there is no immediate negative impact on ovarian reserve caused by salpingectomy.

Keywords

Bilateral salpingectomy; unilateral salpingectomy; ovarian reserve

Subject Area

Obstetrics and Gynecology

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