Indicators of the reproductive function after endoscopic surgical treatment of uterine myomas

Aim: to characterize the function of the reproductive system in women after organ-preserving surgery for uterine myoma: hysteroresectoscopic (HRS) myomectomy and laparoscopic (LS) myomectomy.Materials and methods. Forty one patients were examined and divided into 2 groups: Group 1 – 18 patients afte...

Full description

Bibliographic Details
Main Authors: M. M. Vysotskiy, I. I. Kuranov, O. B. Nevzorov
Format: Article
Language:Russian
Published: IRBIS LLC 2020-01-01
Series:Акушерство, гинекология и репродукция
Subjects:
Online Access:https://www.gynecology.su/jour/article/view/598
_version_ 1797884078551203840
author M. M. Vysotskiy
I. I. Kuranov
O. B. Nevzorov
author_facet M. M. Vysotskiy
I. I. Kuranov
O. B. Nevzorov
author_sort M. M. Vysotskiy
collection DOAJ
description Aim: to characterize the function of the reproductive system in women after organ-preserving surgery for uterine myoma: hysteroresectoscopic (HRS) myomectomy and laparoscopic (LS) myomectomy.Materials and methods. Forty one patients were examined and divided into 2 groups: Group 1 – 18 patients after HRS myomectomy and Group 2 – 23 patients after LS myomectomy. The control group included 20 healthy women of reproductive age.Results. The HRS operation led to a significant decrease in the production of anti-Mullerian hormone (AMH), estradiol and progesterone, while the levels of luteinizing (LH) and follicle-stimulating (FSH) hormones increased. After myomectomy performed by the laparoscopic access, the levels of estradiol, progesterone, and AMH decreased but the levels of both LH and FSH increased so that the ratio LH/FSH remained unchanged. Almost all indices of gonadotropic and steroid hormone production became normalized over 6 months of the postoperative period.Conclusion. The main factors of unfavorable prognosis in patients with ovarian tecoma are tumor necrosis, degree of malignancy and mitotic activity.
first_indexed 2024-04-10T04:01:53Z
format Article
id doaj.art-a4bbdbef5f754d48ae055464557f32dc
institution Directory Open Access Journal
issn 2313-7347
2500-3194
language Russian
last_indexed 2024-04-10T04:01:53Z
publishDate 2020-01-01
publisher IRBIS LLC
record_format Article
series Акушерство, гинекология и репродукция
spelling doaj.art-a4bbdbef5f754d48ae055464557f32dc2023-03-13T07:09:50ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942020-01-0113429730410.17749/2313-7347.2019.13.4.297-304521Indicators of the reproductive function after endoscopic surgical treatment of uterine myomasM. M. Vysotskiy0I. I. Kuranov1O. B. Nevzorov2A.Y. Evdokimov State University of Medicine and Dentistry, Health Ministry of Russian FederationS.P. Botkin City Clinical Hospital, Moscow Healthcare DepartmentA.Y. Evdokimov State University of Medicine and Dentistry, Health Ministry of Russian FederationAim: to characterize the function of the reproductive system in women after organ-preserving surgery for uterine myoma: hysteroresectoscopic (HRS) myomectomy and laparoscopic (LS) myomectomy.Materials and methods. Forty one patients were examined and divided into 2 groups: Group 1 – 18 patients after HRS myomectomy and Group 2 – 23 patients after LS myomectomy. The control group included 20 healthy women of reproductive age.Results. The HRS operation led to a significant decrease in the production of anti-Mullerian hormone (AMH), estradiol and progesterone, while the levels of luteinizing (LH) and follicle-stimulating (FSH) hormones increased. After myomectomy performed by the laparoscopic access, the levels of estradiol, progesterone, and AMH decreased but the levels of both LH and FSH increased so that the ratio LH/FSH remained unchanged. Almost all indices of gonadotropic and steroid hormone production became normalized over 6 months of the postoperative period.Conclusion. The main factors of unfavorable prognosis in patients with ovarian tecoma are tumor necrosis, degree of malignancy and mitotic activity.https://www.gynecology.su/jour/article/view/598uterine myomahysteroresectoscopic myomectomylaparoscopic myomectomy
spellingShingle M. M. Vysotskiy
I. I. Kuranov
O. B. Nevzorov
Indicators of the reproductive function after endoscopic surgical treatment of uterine myomas
Акушерство, гинекология и репродукция
uterine myoma
hysteroresectoscopic myomectomy
laparoscopic myomectomy
title Indicators of the reproductive function after endoscopic surgical treatment of uterine myomas
title_full Indicators of the reproductive function after endoscopic surgical treatment of uterine myomas
title_fullStr Indicators of the reproductive function after endoscopic surgical treatment of uterine myomas
title_full_unstemmed Indicators of the reproductive function after endoscopic surgical treatment of uterine myomas
title_short Indicators of the reproductive function after endoscopic surgical treatment of uterine myomas
title_sort indicators of the reproductive function after endoscopic surgical treatment of uterine myomas
topic uterine myoma
hysteroresectoscopic myomectomy
laparoscopic myomectomy
url https://www.gynecology.su/jour/article/view/598
work_keys_str_mv AT mmvysotskiy indicatorsofthereproductivefunctionafterendoscopicsurgicaltreatmentofuterinemyomas
AT iikuranov indicatorsofthereproductivefunctionafterendoscopicsurgicaltreatmentofuterinemyomas
AT obnevzorov indicatorsofthereproductivefunctionafterendoscopicsurgicaltreatmentofuterinemyomas