The Comparison of Ovarian Reserve After Uterine Artery Embolization and Hysterectomy for Uterine Fibroma
Bibliographic record
Abstract
Background: The purpose of this study was to compare the ovarian reserve before and after uterine artery embolization and hysterectomy for uterine fibroma treatment. Methods: After obtaining the approval of the Ethics Committee of Kermanshah Medical University, this study was carried out in Imam Reza Hospital. Between March 2011 and May 2013, 66 women who suffered from symptomatic fibroma were studied. Hysterectomy with retained ovaries was done on 33 patients and uterine artery embolization (UAE) was done on the other 33 patients. The levels of hemoglobin (Hb), follicle stimulating hormone (FSH) and ovarian follicle size before and 6 months after the operation was measured. Vaginal bleeding, reintervention, hot flash and cost in both procedures were studied. Results: No significant difference was observed after 6 months between the two groups (P = 0.356). In each group one case with FSH above 10 IU/L was observed. The existence of dominant follicle and the size of it was the same in the two groups (P = 0.390). But the level of Hb was higher in women under embolization 6 months after intervention (P = 0.001). The average level of pain after hysterectomy was higher than embolization. The cost of embolization was 12 times higher than hysterectomy. Conclusion: This study indicated that UAE in young women had no impact on the ovarian reserve and did not increase the level of FSH. Long term studies regarding reproductive assessment and menopausal age in women with history of UEA are necessary. J Clin Gynecol Obstet. 2014;3(2):62-67 doi: http: //dx.doi.o rg/10.14740/jcgo239 w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".