Can the ovary be preserved? Trajectory of anti-müllerian hormone after ovarian detorsion: A retrospective cohort study

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dc.authorid0000-0003-1616-9735
dc.authorid0000-0003-4004-8167
dc.authorid0009-0001-5447-5410
dc.authorid0000-0001-8522-9119
dc.contributor.authorŞahin, Turan
dc.contributor.authorŞahin, Eda Adeviye
dc.contributor.authorPerkyürek, Şahin
dc.contributor.authorŞahin, Hanifi
dc.date.accessioned2026-07-14T14:20:27Z
dc.date.available2026-07-14T14:20:27Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractBackground: This study aimed to evaluate the longitudinal trajectory of ovarian reserve by measuring serum anti-Müllerian hormone (AMH) levels in adult patients who underwent surgical detorsion for ovarian torsion, and to investigate the impact of symptom duration and selected clinical factors on postoperative AMH recovery. Methods: This retrospective cohort study included patients who underwent surgical detorsion for ovarian torsion and had serum AMH measurements available preoperatively and at 3 and 6 months postoperatively. Patients whounderwentoophorectomy orhadincompletefollow-up datawereexcluded. Demographiccharacteristics,symptomduration, torsion laterality, surgical approach, presence of polycystic ovary syndrome (PCOS), and surgical procedure (detorsion alone or detorsion with cystectomy) were recorded. Changes in AMH over time were analyzed using the Friedman test with pairwise Wilcoxon signed-rank comparisons. Subgroup differences were performed using the Mann-Whitney U or Fisher’s exact test. Results: A total of 34 patients were included in this study. Median AMH levels rose from 3.00 ng/mL (interquartile range [IQR]: 2.10–5.00) preoperatively to 4.00 ng/mL(IQR:2.60–4.88) at 3 monthsand5.00ng/mL(IQR:3.60–6.00)at6monthspostoperatively (overall p < 0.001). AMHlevels were significantly higher at both 3 and 6 months compared with preoperative values (p = 0.021 and p < 0.001, respectively), with a further increase observed between 3 and 6 months (p < 0.001). No significant differences in AMH recovery were observed based on PCOS status, surgical approach, surgical procedure, or torsion laterality. Conclusions: Ovarian reserve recovery after detorsion appears to be time-dependent, and longitudinal assessment of AMH provides a more informative evaluation than single postoperative measurements. Prolonged symptom duration is associated with reduced biochemical recovery of ovarian reserve, highlighting the importance of early diagnosis and prompt surgical intervention in ovarian torsion.
dc.identifier.citationŞahin, T., Şahin, E. A., Perkyürek, Ş., & Şahin, H. (2026). Can the ovary be preserved? Trajectory of anti-müllerian hormone after ovarian detorsion: A retrospective cohort study. Clinical and Experimental Obstetrics & Gynecology, 56(6), pp. 1-7. https://doi.org/10.31083/CEOG50058
dc.identifier.doi10.31083/CEOG50058
dc.identifier.endpage7
dc.identifier.issn0390-6663
dc.identifier.issn2709-0094
dc.identifier.issue6
dc.identifier.scopus2-s2.0-105042410149
dc.identifier.scopusqualityQ3
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.31083/CEOG50058
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1542
dc.identifier.volume53
dc.identifier.wosWOS:001813551300003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorŞahin, Hanifi
dc.institutionauthorid0000-0001-8522-9119
dc.language.isoen
dc.publisherIMR Press
dc.relation.ispartofClinical and Experimental Obstetrics & Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectOvarian Torsion
dc.subjectDetorsion
dc.subjectOvarian Reserve
dc.subjectAnti-Müllerian Hormone
dc.subjectFertility Preservation
dc.titleCan the ovary be preserved? Trajectory of anti-müllerian hormone after ovarian detorsion: A retrospective cohort study
dc.typeArticle
dspace.entity.typePublication

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