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    The Effect of the Ovarian Endometrioma Surgery on Ovarian Reserve and Ovarian Blood Flow
    (Derman Medical Publ, 2015) Yilmaz, Manolya; Uysal, Ahmet; Onoglu, Ahmet Seckin; Uysal, Fatma; Taner, Cuneyt Eftal
    Aim:To investigate the effectiveness of laparoscopic endometriosis surgery on ovarian reserve and ovarian blood flow index. Material and Method: Twenty-six patients were evaluated prospectively whom had laparoscopic surgery due to endometrioma in third care education and research hospital. Before and after surgical procedure all patients FSH, LH and E2 levels were measured in their 3rd menstrual period day. Periodically cysts and ovarian volume as well as ovarian artery resistive index measured by using transvaginal Doppler sonography. Results:Twenty-six patients' mean age was 25, 6 +/- 4, 5 (20-36 years). When the compared to changes of preoperative and postoperative values of hormonal parameters FSH (p:0,455) and LH (p:0,672) were insignificant and E2 (p:0,024) was significant respectively. While ovarian volume was decreasing significantly (p:0,001), Ovarian Artery RI parameter was not changed (p:0,587). Discussion:Our study was showed that while laparoscopic surgical treatment of ovarian endometriomas significantly decrease ovarian volume, but hormonal parameters and ovarian blood flow were not affected.
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    Öğe
    The Effects of Hysteroscopic Submucosal Myoma Resection on Number of Sanitary Pads
    (Derman Medical Publ, 2015) Mun, Semih; Uysal, Ahmet; Onoglu, Ahmet Seckin; Uysal, Fatma; Taner, Cuneyt Eftal
    Aim: To research the effect of hysteroscopic resection of submucosal myoma (HRSM) on the amount of pads used during the menstrual period in a premenopausal patient with menometrorrhagia caused by submucosal fibroids. Material and Method: A total of 27 women with submucosal fibroids were included in this prospective study using the Pictorial Blood Assessment Chart (PBAC) to evaluate quantity of menorrhagia. Bleeding evaluation and number of pads used by patients in the 6th month after HRSM were recorded. Results: The average age of patients included in the study was 41 +/- 5.1. Of 27 patients 20 (74%) had one. 4 (14%) had two and 3 (12%) had three or more submucosal myomas. The diameter of removed fibroids were 17 (63%) less than 3 cm, 6 (22%) between 3 and 5 cm and 4 (15%) were above 5 cm. In the postoperative 6th month on the day of heaviest menstrual bleeding average number of pads used dropped to 3.8 compared to 9.1 in the preoperative period (p<0.05). Discussion: HRSM performed due to menometrorrhagia in the premenopausal period significantly reduces the number of pads used and the number of days of bleeding.