الفهرس 
Ovarian FunctionsOnly 14 pages are availabe for public view
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Abstract
The ovarian function of patients after hysterectomy is a major concern in clinical practice. There is conflicting evidence regarding the effect of premenopausal hysterectomy on the ovarian function. Some research indicates an increase in incidence and severity of menopausal symptoms and ovarian failure following removal of the uterus, despite the ovaries remaining in place, whereas others report no decrease in ovarian function
Objective: To evaluate the effect of cesarean hysterectomy with ovarian preservation on ovarian function in premenopausal women and occurrence of early menopause.
Patients and Methods: This retrospective cross sectional study was conducted at Ain Sham University Maternal Hospital on 105 patients with cesarean hysterectomy with ovarian preservation due to obstetric causes (as placenta accrete, atony, abruptio placentae and uterine rupture, …...), during the last five years (from 2015 to 2020).
Results: There was no statistically significant differance between poor ovarian function and early ovarian failure according to age during operation, body mass index, total deliveries, number of CS and cause of CS hysterectomy. In this study there was no significant Doppler affection or decrease in ovarian blood flow (RI & PI of ovarian artery). This study CS hysterectomy as a procedure irrelevant of age has no significance on ovarian reserve and FSH levels (p value 0.185), as there are many factors influencing this, such as age, smoking and history of menstrual irregularities.
Conclusion: This study according to the results that hysterectomy as a procedure irrelevant of age has no significance on ovarian reserve and FSH levels (p value 0.185), as there are many factors influencing this, such as age, smoking and history of menstrual irregularities.