The outcomes of laparoscopic cystectomy of endometriomas have been the subject of numerous investigations. Endometriosis is the term used when endometrial glands and stroma are seen outside of the usual uterine cavity. Ectopic endometrial tissue growing inside the ovary leads to pseudocysts known as endometriomas. The best course of treatment for women with symptomatic or expanding endometriomas is first surgery. Analyzing the serum level of anti-mullerian hormone (AMH) can be used to estimate ovarian reserve.
This study's objective was to evaluate how laparoscopic ovarian cystectomy for endometrioma affected ovarian reserve.
Methods:This prospective interventional study on96 patients of ovarian endometriomas candidate for laparoscopic ovarian cystectomy.
All patients included in the study were subjected to; detailed history taking and full examination, day 3Follicular Stimulating hormone (FSH) and Antimullerian hormone (AMH)measurement the cycle before operation then subjected to laparoscopic cystectomy and histological examination then the same tests were repeated on day 3 of the cycle three months 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 ).
In this study, patients with endometriomas> 5 cm in diameter compared to smaller ones saw larger post-operative AMH declines (p value 0.001 and 0.01 respectively), as well as those with bilateral endometriomas compared to those with unilateral ones. (p value