Comparison of the effects of total laparoscopic hysterectomy and total abdominal hysterectomy on ovarian reserve and sexual function: a non-randomised prospective study

Both approaches were associated with comparable reductions in ovarian reserve and sexual function over a six-months period. Neither approach showed a clear advantage, highlighting the importance of preoperative counselling and individualized surgical planning to ensure that women are aware of potential hormonal and sexual health changes after surgery.