Features of Menstrual Function of Women After Organ-preserving Operations on Ovaries

Alesia V. Boiko
In: Family medicine · 2019 · pp. 106–108 · doi:10.30841/2307-5112.2.2019.175667 · W2973803124
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This study of 100 women with ovarian cysts found that postoperative menstrual disturbances, primarily oligomenorrhea and shortened cycles, result from pre-existing conditions and surgical resection extent.

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This study evaluated menstrual function in 100 women with simple serous cystadenoma or mature teratoma before and after organ-preserving ovarian surgery. The researchers found that preoperative menstrual disturbances, present in over half the patients, correlated with reduced ovarian reserve, while postoperative resection further increased the frequency of cycle irregularities such as oligomenorrhea. The authors note that these findings regarding surgical impact on ovarian reserve should inform future diagnostic and rehabilitational algorithms. Relevance to endometriosis: referenced in the bibliography via a citation on endometrioid ovarian tumors, though the paper's main focus is benign non-endometriotic ovarian masses.

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Abstract

The objective: to study features of menstrual function of women after organ-preserving operations on ovaries.Materials and methods. We investigated morfofunctionale condition of ovaries at 100 patients with a simple serous cystadenoma (n=50) and a mature teratoma (n=50) – before organ preserving operations (cystectomia, resection). Taking into account the volume of the executed operative measure, surveyed were distributed on 3 groups. The complex of the conducted researches included clinical, endocrinologic, biochemical, morphological and static methods.Results. Generalization of the received results, allowed us to conclude that the frequency of disturbances of menstrual function at women after operations on ovaries is caused as disturbances before operation, and operative measure consequence. The high percent of changes of menstrual cycle before operation (46,0% with mature teratoma and 54,0% with simple serous cystadenoma), according to our data, direct in proportion correlates with level of change of an ovariale reserve. In the postoperative period the augmentation of number of patients with disturbance of menstrual function by 1,3–1,4 times more ovary postresections is noted. Among all types of disturbances of menstrual cycle the shorting of cycle and an oligomenorrhea prevailed.Conclusion. The obtained data need to be considered when developing algorithm of diagnostic, treatment-and-prophylactic and rehabilitational actions.
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Abstract

The objective: to study features of menstrual function of women after organ-preserving operations on ovaries.

Materials

and methods. We investigated morfofunctionale condition of ovaries at 100 patients with a simple serous cystadenoma (n=50) and a mature teratoma (n=50) – before organ preserving operations (cystectomia, resection). Taking into account the volume of the executed operative measure, surveyed were distributed on 3 groups. The complex of the conducted researches included clinical, endocrinologic, biochemical, morphological and static methods. Results. Generalization of the received results, allowed us to conclude that the frequency of disturbances of menstrual function at women after operations on ovaries is caused as disturbances before operation, and operative measure consequence. The high percent of changes of menstrual cycle before operation (46,0% with mature teratoma and 54,0% with simple serous cystadenoma), according to our data, direct in proportion correlates with level of change of an ovariale reserve. In the postoperative period the augmentation of number of patients with disturbance of menstrual function by 1,3–1,4 times more ovary postresections is noted. Among all types of disturbances of menstrual cycle the shorting of cycle and an oligomenorrhea prevailed. Conclusion. The obtained data need to be considered when developing algorithm of diagnostic, treatment-and-prophylactic and rehabilitational actions.##plugins.themes.bootstrap3.article.details## This work is licensed under a Creative Commons Attribution 4.0 International License. Authors retain the copyright and grant the journal the first publication of original scientific articles under the Creative Commons Attribution 4.0 International License, which allows others to distribute work with acknowledgment of authorship and first publication in this journal.

References

Зварич Л.І., Луценко Н.С., Шаповал О.С., 2015. Частота функціональних кіст яєчників у жінок репродуктивного віку в структурі гінекологічної патології // Сучасні медичні технології: 2:3:79–83. Кузнецова Е.П., 2010. Современные представления об этиологии и патогенезе опухолевидных образований и доброкачественных опухолей яичников // Саратовский научно-медицинский журнал: 6:3:552–558. Резниченко Г.И., Шаповал О.С., 2015. Особенности реализации репродуктивной функции у женщин с доброкачественными опухолевидными образованиями яичников // Здоровье женщины: 2(98):104–107. Серебренникова К.Г., Кузнецова Е.П., Халилов Р.З., 2010. Факторы риска развития опухолевидных образований и доброкачественных опухолей яичников // Уральский медицинский журнал: 6(71):111–115. Шаповал О.С., 2016. Кісти яєчників. Аналіз структури патології у жінок репродуктивного віку / О.С. Шаповал // Scientific journal «ScienceRise: Medical Science»: 9(5):75–79. Shapoval O., 2016. Clinical and Diagnostic Parallels, Therapeutical Strategies in Benign Ovarian Tumor-Like Formations // The Science Advanced : Issue 02: DOI: 10.15550/ASJ.2016.02.027: 27–33. Vorontsova L.L., Shapoval O.S., 2015. Pathogenetic rationale for the use of immunomodulating and systemic enzyme therapy in treatment of nulliparous women with endometriod ovary tumors // Journal of Education, Health and Sport: 1:5 :75–86.

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