Evaluation of the Ovarian Reserve in Patients Who Hypogastric Arteries and or Uterine Arteries Had Been Ligated

Study Overview
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Brief Summary
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Patients who hypogastric arteries and/or uterine arteries had been ligated will be evaluated in terms of ovarian reserve markers such as anti-mullerian hormone levels, ovarian volumes, antral follicule count, follicule stimuli hormone and estrogen levels. Investigators will search their archives for finding suitable patients for study. Investigators will especially notice being at least 6 month time of interval between surgery and evaluation time. Ultrasound examination and taking blood sample will be performed on 2nd or 3th day of menstrual cycle. These results will be compared with normal postpartum women's results. It will be evaluated that there is or not any effect of the hypogastric arteries and/or uterine arteries on ovarian reserve

Conditions
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Ovarian Reserve, Hypogastric Artery Ligation, Uterine Artery Ligation

Intervention / Treatment
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* Procedure: Hypogastric and/or uterine artery ligation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients had been ligated hypogastric and/or uterine arteries Patients are in 6 month period after surgery Without performed hysterectomy No older than 40 years old No history about endocrinopathy which have an effect upon ovarian reserve Exclusion Criteria: Patients had been made other gynecologic surgery such as fallopian tube ligation and hysterectomy etc. Patients are older than 40 years old Patients use drugs which have an effect upon ovarian reserve Patients have diseases which have an effect upon ovarian reserve such as some endocrinopathy, malign diseases which require radiotherapy and chemotherapy etc.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hypogastric and/or uterine artery ligation<br>Patients who had been ligated hypogastric artery and or uterine artery for ceasing uterine bleeding during c-section | Procedure: Hypogastric and/or uterine artery ligation<br> <br> |
| No Intervention: Normal postpartum women<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anti-mullerian hormone levels will be evaluated |  | 6 months after surgery and delivery | 
| Antral Follicule Count will be evaluated |  | 6 months after surgery and delivery | 
| Ovarian volume will be evaluated |  | 6 months after surgery and delivery | 
| Follicule Stimuli Hormone levels will be evaluated |  | 6 months after surgery and delivery | 
| Estrogen levels will be evaluated |  | 6 months after surgery and delivery |