EFFECT OF LAPAROSCOPIC OVARIAN CYSTECTOMY FOR ENDOMETRIOMA ON OVARIAN RESERVE

Document Type : Original Article

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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.



 

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Zagazig University Medical Journal
Volume 24, Issue 2
March 2018
Pages 150-156

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