Influence of operations is on ovaries on the menstrual function of women of reproductive age

Abstract

DOI: 10.52705/2788-6190-2024-02-07
УДК 618.17-008.8-039-06:618.11-089

The objective: to learn the features of menstrual function of women after organ-preserving
operations on ovaries.
Materials and methods. We investigated the morphofunctional state of ovaries in 100 patients
from an simple serous cystadenoma (50 women ) and mature teratoma (50 women) to and after
organ-preserving operations (cystectomy, resection).
Parallel estimated a menstrual and reproductive function. Operative interference to all patients
was executed by laparoscopic access on the generally accepted method. A control group was
made by the women of reproductive age with the functional ovarian cysts. Clinical, endocrinology,
biochemical, morphological and static methods were plugged in the complex of the conducted
researches.
Results. By us found out dependence of violations of menstrual cycle on changes in the
preoperated period. The conducted description of duration of menstrual cycle in 3 months after
organ-preserving operations taking into account the volume of the executed operation and ovarian
reserve testifies that the number of patients with a menstrual cycle was 21–25 days increased for
patients with mature teratoma and serous cystadenoma in 1,3 and 1,4 time respectively. Thus,
in inspected with reduced ovarian reserve (sub-group In) the shortened menstrual cycle took
place in most patients both in a 1 group (54,0%) and in 2 – 64,0%. In looked after with the
moderately reduced of ovarian reserve (sub-group) this type of violation met in 2 times rarer, with
the unchanged ovarian reserve (sub-group A) in 3 times. The increase of duration of menstrual
cycle is marked for patients regardless of level of reduced of ovarian reserve.
Amount of looked after with the changed menstrual cycle it was higher for patients which carried
the resection of ovary at 1,5 time, by comparison to cystectomy, that is conditioned by the large
number of patients with moderately reduced (sub-group) and low ovarian reserve (sub-group In).
Conclusions. Frequency of violations of menstrual function for women after operations on ovaries
is conditioned by both violations to the operation and investigation of operative interference.
High percent of changes of menstrual cycle to the operation (46,0% – with mature teratoma and
54,0% from an simple serous cystadenoma), in obedience to our information, directly proportional
correlates the changes of ovarian reserve with a level.
In a postoperative period the increase of number of patients is marked with violation of menstrual
function at 1,3–1,4 time in a greater degree after the resection of ovary. Shortening of cycle
and oligomenorrhea prevailed among all types of violations of menstrual cycle. Findings must
be taken into account at development of algorithm of diagnostic, treatment-and-prophylactic and
rehabilitation measures.