Assessment of ovarian function by clinical, hormonal and sonological parameters in post hysterectomy premenopausal women

G. D. Maïti, Darshana Wayzade, Manoj Kumar Tangri, Shilpa Gupta, Vibhu Chatterjee
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2018 · vol. 7(4) , pp. 1376 · doi:10.18203/2320-1770.ijrcog20181022 · W2789534255
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study assessed ovarian function in premenopausal women post-hysterectomy using clinical, hormonal, and sonological parameters, finding significant changes in FSH, ovarian volume, and pulsatility index after one year, with 34% developing menopausal symptoms.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This prospective observational study followed 110 premenopausal women aged 30–50 undergoing hysterectomy for benign uterine conditions with ovarian preservation, assessing ovarian function using clinical menopausal symptom interviews (Menopause Rating Scale), serum LH/FSH/estrogen, and ultrasound measures of bilateral ovarian volume and Doppler pulsatility index at baseline, 3 months, 6 months, and 1 year. After one year, serum FSH, ovarian volumes, and ovarian pulsatility indices differed significantly from preoperative values, while serum LH and serum estrogen did not show significant change over the same period. Menopausal symptoms were reported by 34% of participants at one year. The paper’s main limitation is that it focuses on a specific surgical population and does not provide a separate non-surgical comparator group, limiting causal inference about hysterectomy’s effects. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Background: Hysterectomy with or without ovarian preservation is one of the common gynaecological major surgery performed worldwide. Ovarian function in future life therefore remains a contentious subject when ovaries are preserved. Assessment of ovarian function was done by clinical, hormonal and sonological parameters in post hysterectomy premenopausal women to assess, onset of menopausal symptoms, serum hormonal levels, and anatomical status.Methods: The study was a prospective observational study of 110 premenopausal patients of 30 to 50 years of age undergoing hysterectomy for benign uterine conditions carried out from September 2014 to August 2016. Patients were followed up after operation at 3 months, 6 months and 1 year. Serum LH, serum FSH, serum Estrogen, bilateral ovarian volume and bilateral ovarian Doppler study were done at baseline and each visit. Patients were interviewed at each visit for menopausal symptoms. Menopausal Rating scale (MRS) questionnaire was used as a basis for assessing menopausal symptoms.Results: Significant difference noted in all the parameters like serum FSH, right and left ovarian volume and right and left ovarian pulsatility index at period of one year compared to preoperative values. No significant difference seen for serum LH and serum estrogen at period of one year. At 1 year 34 patients (34%) developed menopausal symptoms.Conclusions: For all premenopausal patients who undergo hysterectomy for benign conditions of uterus with their ovaries preserved, proper follow up should be done after the surgery for assessing ovarian function at intervals.

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