Comparison of the effects of tube ligation and bilateral salpingectomy on ovarian functions during caesarean section

Objective: In this study, we aimed to evaluate the effects of tube ligation and bilateral salpingectomy performed during cesarean section, on ovarian functions and reserves ultrasonographically and biochemically. Materials and methods: 90 patients who underwent caesarean section were included prospectively in this study. Patients were divided into three equal groups: bilateral tube ligation (pomeroy method), bilateral salpingectomy and control group. The patients dermographic characteristics, pregnancy weeks were recorded. Before and 10-12 weeks after the surgical procedure, with ultrasound examination ovarian volumes and antral follicle numbers (AFS) were recorded, venous blood samples were taken and anti müllerian hormone (AMH) and inhibin B levels were examined. Results: The mean age of Group 1 was 31±4.202, Group 2 was 35.47±3.481, Group 3 was 26.3±3.861 and the differences between groups were statistically significant. All parameters were evaluated according to their changes in preoperative and postoperative periods. The mean values of AMH increased 0.138±0.119 in Group 1, 0.230±0.094 increased in Group 2, 0.025±1.9830 decreased in Group 3 and the differences between the groups were statistically significant. The mean values of inhibin B decreased 2.241±4.538 in Group 1, 0.545±3.981 in Group 2, 5.907±6.00 in Group 3 and the differences between the groups were statistically significant. The mean ovarian volume values of decreased 0.032±0.292 in Group 1, 0.310±0.417 in Group 2, 0.327±0.488 in Group 3 and differences between groups were statistically significant. Conclusion: As a result of our study it was not clear whether the changes in the parameters we investigated, were caused by hormonal conditions during pregnancy and lactation period or by tubal sterilization. Nevertheless, tubal sterilization during caesarean section can be considered a practical, safely method. Keywords: Caesarean, tubal ligation, salpinjectomy, antimüllerian hormone, inhibin B.