Influence of transcervical resection of endometrium on ovarian hemodynamics and ovarian function

Objective:To evaluate the influence on ovarian hemodynamics and ovarian function after transcervical resection of endometrium (TCRE) .Methods: The study group was composed of 35 women with AUB undergoing TCRE under hysteroresectoscopy. The patients were examined by transvaginal color doppler (TVCD) and blood specimen preoperatively, and then followed up 1 month, 3 months and 6 months post operatively. With TVCD flow image, to obtain resistance index (RI) and pulsatility index (PI) from ovarian arteries. At same time, to measure the serum follicle stimulating hormone (FSH) , luteinizing hormone (LH) , estradiol (E 2) ,prolactin (PRL), progesterone (P) and testerone (T). Results:Thirty-five patients were followed up after TCRE from 9 months to 18 months. Thirty-one out of 35 women (88.57%) had adequately controlled menorrhagia (34.29% had amenorrhea,54.29% had hypomenorrhea), while 4 women (11.43%) with adenomyosis were failed due to unchanged menstrual flow after surgery. The blood flow impedance of ovarian arteries was all lower at 1 month, 3 months and 6 months after operation. The serum FSH, LH, E2, P, T levels showed no significant difference between preoperation and postoperation. Conclusion: The data suggest that the blood flow impedance of ovarian arteries is lower and ovarian function has no significant change after TCRE.