Effect of 30-minutes versus 60-minutes uterine artery occlusion tourniquet time during open myomectomy on levels of anti-mullerian hormone: a randomized clinical study in NAUTH, Nnewi, Nigeria.

Background: Uterine fibroid is the most common of benign gynaecological tumours. One of the traditional methods of reduction of blood loss during open myomectomy is with application of uterine tourniquet. There remains concern to the effect of use of uterine tourniquet on ovarian reserve in women desirous of preserving their ovarian function. Ovarian reserve is the qualitative and quantitative availability of primordial follicles in the ovaries of a reproductive aged woman that can turn into mature follicles with reproductive potentials. Various forms of markers can be used to assess this including the static markers (oestradiol, follicle stimulating hormones, inhibin-B and anti-Mullerian hormone, AMH).Aim and Objectives: To evaluate the effect of uterine artery occlusion and duration of tourniquet time on ovarian reserve during open myomectomy.