Effect of Salpingectomy in Ectopic Pregnancy on Ovarian Reserve


Ahmed WE, Daoud MA


Introduction: Salpingectomy is a common procedure performed for ectopic pregnancy. However, its impact on the ovarian reserve is still uncertain. This study was conducted to explore the potential effect of salpingectomy in ectopic pregnancy on future ovarian reserve by measuring serum anti- müllerian hormone.

Methods: This prospective observational study was conducted on 60 women with ectopic pregnancy managed by salpingectomy. Serum anti-müllerian hormone was measured before the surgical procedure and 3 months postoperative as a marker of ovarian reserve.

Results: No statistical significant difference between serum anti-müllerian hormone levels at admission (2.34 ± 0.8 ng/ml [range 0.994 – 3.78 ng/ml]) and 3 months postoperative (2.48 ± 0.9 ng/ml  [range 0.952 – 4.1 ng/ml]), where the mean change in anti-müllerian hormone was 0.14±0.1 [range (-0.04) – (0.32)]. No correlation was found between change in anti-müllerian hormone and the potential influencers: age and serum anti-müllerian hormone level before salpingectomy.

Conclusion: Salpingectomy performed for ectopic pregnancy has no effect on ovarian reserve measured by anti-müllerian hormone.


 Anti-Mullerian hormone (AMH), Ectopic pregnancy, Salpingectomy, ovarian reserve

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Effect of Salpingectomy in Ectopic Pregnancy on Ovarian Reserve