Abstract: With more and more gynecological operation methods, especially the extensive development of minimally invasive surgery, how to protect the ovarian reserve function to the maximum is a common topic for doctors and patients. Ovarian reserve reflects a woman′s fertility and refers to the quantity and quality of fertilizable oocytes in the ovary, as measured by age, basal follicle stiminulating hormone, estradiol, luteinizing hormone, and Inhibin B, the number of basal antral follicles and the volume of ovaries, but there are some limitations. Anti-Müllerian hormone (AMH), which is secreted by the ovarian granulosa cells, remains relatively stable throughout the menstrual cycle and is not affected by the menstrual cycle, thus AMH is a reliable predictor of ovarian reserve. This article reviews the effects of different gynecological operations on ovarian reserve.

Key words: Anti-Mullerian hormone, Ovarian reserve, Hysterectomy, Salpingectomy, Ovarian cystectomy