Myoma of the uterus is the most common tumor of female genital organs. At present, in patients of reproductive age, preference is given to organ-preserving operations. When choosing a method for surgical treatment of uterine fibroids in a reproductive age, one should proceed from the need to restore or maintain the reproductive capacity of the patient. Objectives. The aim of our work was to study the influence of such methods of surgical treatment of uterine fibroids, as: hysteroresectoscopic myomectomy (HRM) and uterine artery embolization (UAE), on the reproductive system of patients by evaluating the functional status of the ovaries. Material and methods. The study included 51 patients of reproductive age who underwent organ-preserving surgeries for uterine myoma: HRM and UAE. All the examined patients were divided into 2 groups. In 1 group included 28 patients after HRM. The second group included patients after EMA. The control group consisted of 20 healthy women of reproductive age. All patients before the operation and during the course of the postoperative period (1st, 4th, 6th and 10th month of the postoperative period) were examined hormonal profile, as well as dopplerometry of uterine and ovarian arteries. Results. Hysteroresectoscopy leads to a significant decrease in production of AMG, estradiol and progesterone against the background of increased levels of LH and FSH. At the same time the ratio of LH / FSH has no significant differences from the preoperative level. In the future, by 4 months of the postoperative period, there is a tendency to normalize the level of hormones. By 6 months, blood hormone levels reach a near preoperative level. There is also a decrease in blood flow in the uterine and ovarian arteries, which begins to recover by 4 months and is finally restored to the 6th month of the postoperative period. In patients who underwent UAE, during the first month of the postoperative period, a marked decrease in the production of steroid hormones: estradiol by 60,5%, progesterone by 30.2%. Production of gonadotropic hormones increases: FSH — by 58.4%, LH — by 55.5% with the same ratio of LH / FSH. The indicator AMG decreases by 65.8%. By the 6th month of the postoperative period, there is a significant increase in the production of steroid hormones in comparison with the indicators of the previous group, but they return to normal, preoperative parameters only 10 months after the operation. Blood supply to the uterus and ovaries significantly decreases after UAE and remains reduced up to 10 months postoperative period. Conclusion. After HRM and UAE, patients with uterine myoma have changes in the functional state of the ovaries, most pronounced after EMA. This should be taken into account when choosing the method of operation in patients with uterine myomas in the reproductive age, and when deciding whether to conduct hormonal therapy in the postoperative period.