Relationship Between Ovarian Reserve Markers withUterine Myomas

Background: Ovarian reserve is a woman's fertility potential.Poor ovarian response to s timulation may be due to aging, endometriosis,myoma, and pelvic inflammatory disease. Theses tudies evaluate the effect of uterine myomas on ovarian reserve.Materials and Methods: The present case-control s tudy wasperformed on ۲۴۰ women in both case and control groups from۲۰۱۶-to ۲۰۱۷ in Royan Center. The case group consis ted of ۹۷women with infertility, which had intramural myoma. The controlgroup consis ted of ۱۴۳ women who had infertility and didnot have this lesion. The sampling method was continuous andavailable. The data collection tool was a ques tionnaire in twoparts of individual variables. The second part was related toboth groups' ultrasound results (number of antral follicles andovarian volume) and laboratory (FSH and AMH) done on thethird day of the cycle. Data analysis was performed using SPSSsoftware and t-tes t and a chi-square tes t.Results: The result showed no s tatis tically significant differencebetween the two groups in FSH (P> ۰.۰۵). S till, in AMHthere was a s tatis tically significant difference between the twogroups (P<۰.۰۵). Also, the results showed that the number ofantral follicles in the right ovarian, the number of antral folliclesin the left ovarian, and thickness were not s tatis ticallysignificant between the two groups (P>۰.۰۵). But the variablesof the size of uterine, echo uterine, and intramural fibroma wass tatis tically significant (P<۰.۰۵).Conclusion: The results showed myomas with different mechanismssuch as changes in uterine size and the effect on uterinelead to a decrease in ovarian reserve and infertility. Therefore,treatment and surgery can reduce these effects and improve thefertility of the affected women.

کلیدواژه ها:

Infertility ، Myoma ، Ovarian Reserve