Received May 15, 2024
Accepted September 01, 2025

Objective: Salpingectomy has been one of the most performed surgical procedures in gynecological practice worldwide. Common indications include ectopic pregnancy and salpingitis (for example symptomatic hydro or pyosalpinx. This rising trend in salpingectomy has been associated with a rising concern over its potentially damaging effect on ovarian reserve due to possible concomitant damage of ovarian blood supply given the proximity of tubal and ovarian arteries. Methods: This is a prospective cohort Study including eighty cases of infertile women with a previous unilateral or bilateral hydro salpinx and indicated for salpingectomy or tubal ligation attending the outpatient clinic at assisted reproduction unit, Al-Azhar University. The results were obtained in the period from February 2020 to December 2022. Results: There was no statistically significant change in mean AMH levels post-operatively (P-value = 0.147, Effect size = 0.035) in both unilateral and bilateral groups. Conclusion: The unilateral and bilateral salpingectomy in patients with normal ovaries has no detrimental effect on ovarian reserve.