ABSTRACT Background: To assess the effect of laparoscopic ovarian cystectomy for endometrioma on ovarian reserve by markers as Anti-Mullerian Hormone and Follicle Stimulating Hormone. Subjects: 48 Women of reproductive age who had ultrasonographic diagnosis of endometrioma measuring>3cm whether unilateral or bilateral and subjected to laparoscopic excision. Methods: From January 2017 to December 2017, Women with endometrioma underwent to laparoscopic excision. Serum AMH and FSH were determined preoperatively and 3months postoperative. Results: There was a statistically significant reduction in postoperative mean value of AMH ( 2.04+ 1.69 ) when compared to the preoperative mean value of AMH (2.59+ 1.85 ) and a statistically significant rise in postoperative mean value of serum FSH (7.23+ 1.48 ), when compared to preoperative mean value of FSH (5.50+ 1.85 ). Post-operative AMH decreases were greater in patients with endometriomas > 5cm in diameter compared with smaller ones and in patients with bilateral endometriomas compared with unilateral ones. Conclusion: Laparoscopic cystectomy for endometrioma has an adverse impact on ovarian reserve. Bilaterality and size of endometrioma increase the adverse effect of Laparocopic ovarian cystectomy on the ovarian reserve.
Abd Elhameid, A., Amin, A. E., Alnemr, A., & Selim Mohamed, M. (2018). EFFECT OF LAPAROSCOPIC OVARIAN CYSTECTOMY FOR ENDOMETRIOMA ON OVARIAN RESERVE. Zagazig University Medical Journal, 24(2), 150-156. doi: 10.21608/zumj.2018.13089
MLA
Azza Abd Elmageid Abd Elhameid; Abd Elaziz Ibrahim Amin; Amr Abd Almohsen Alnemr; Maha Sabry Selim Mohamed. "EFFECT OF LAPAROSCOPIC OVARIAN CYSTECTOMY FOR ENDOMETRIOMA ON OVARIAN RESERVE". Zagazig University Medical Journal, 24, 2, 2018, 150-156. doi: 10.21608/zumj.2018.13089
HARVARD
Abd Elhameid, A., Amin, A. E., Alnemr, A., Selim Mohamed, M. (2018). 'EFFECT OF LAPAROSCOPIC OVARIAN CYSTECTOMY FOR ENDOMETRIOMA ON OVARIAN RESERVE', Zagazig University Medical Journal, 24(2), pp. 150-156. doi: 10.21608/zumj.2018.13089
VANCOUVER
Abd Elhameid, A., Amin, A. E., Alnemr, A., Selim Mohamed, M. EFFECT OF LAPAROSCOPIC OVARIAN CYSTECTOMY FOR ENDOMETRIOMA ON OVARIAN RESERVE. Zagazig University Medical Journal, 2018; 24(2): 150-156. doi: 10.21608/zumj.2018.13089