{"paper_id":"544bb4a4-e337-45d1-bd7d-8b5deb6033a5","body_text":"Gynecology, Obstetrics and Perinatology - Gynecology, Obstetrics and Perinatology - 2019 volume 18 issue 1\nSmall-size ovarian endometriosis. The state of ovarian reserve before and after organ-sparing surgery\nAuthors / Institutions\nAntonina A. Solomatina /\nE.A.Sadovnikova /\nMarina Yu. Tyumentseva /\nM.Z.Argun /\nLeila B. Chabieva /\nS.V.Shtyrov /\nOlga V. Bratchikova /\nThe objective. Тo study parameters of ovarian reserve in patients with EOT before and after various methods of surgical treatment.\nPatients and methods. We examined 73 patients after surgical treatment of ovarian endometriosis: 39 after excision by stripping, 34 – after puncture-ablation. Assessment of ovarian reserve was based on calculation of the volume of ovarian tissue (V, cm3), number of antral follicles (NAF), anti-Müllerian hormone (AMH) testing in the pre- and post-operative period (after 3, 6, 12 mos.).\nResults. Comparison of two groups of patients showed that after puncture-ablation V is by 1.2 times higher than in the group of patients after excision of endometriomas, and NAF is by 1.8 times higher. Serum ANH concentrations were 2.8 ± 0.4 and 1.4 ± 0.2 ng/ml after puncture-ablation and excision, respectively.\nConclusion. Assessment of ovarian reserve is suggestive of its more significant decrease after excision as compared with the puncture-ablation technique. The ablation method is preferable in patients with small-size ovarian endometriosis and in infertile patients.\nKey words: anti-Müllerian hormone, ovarian reserve, punction-ablation technique, excision, small endometrioid ovarian tumours.\nFor citation: Solomatina A.A., Sadovnikova E.А., Tyumentseva M.Yu., Argun M.Z., Chabieva L.B., Shtyrov S.V., Bratchikova O.V. Small-size ovarian endometriosis. The state of ovarian reserve before and after organ-sparing surgery. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2019; 18(1): 20–27. (In Russian).\nDOI: 10.20953/1726-1678-2019-1-20-27\nPatients and methods. We examined 73 patients after surgical treatment of ovarian endometriosis: 39 after excision by stripping, 34 – after puncture-ablation. Assessment of ovarian reserve was based on calculation of the volume of ovarian tissue (V, cm3), number of antral follicles (NAF), anti-Müllerian hormone (AMH) testing in the pre- and post-operative period (after 3, 6, 12 mos.).\nResults. Comparison of two groups of patients showed that after puncture-ablation V is by 1.2 times higher than in the group of patients after excision of endometriomas, and NAF is by 1.8 times higher. Serum ANH concentrations were 2.8 ± 0.4 and 1.4 ± 0.2 ng/ml after puncture-ablation and excision, respectively.\nConclusion. Assessment of ovarian reserve is suggestive of its more significant decrease after excision as compared with the puncture-ablation technique. The ablation method is preferable in patients with small-size ovarian endometriosis and in infertile patients.\nKey words: anti-Müllerian hormone, ovarian reserve, punction-ablation technique, excision, small endometrioid ovarian tumours.\nFor citation: Solomatina A.A., Sadovnikova E.А., Tyumentseva M.Yu., Argun M.Z., Chabieva L.B., Shtyrov S.V., Bratchikova O.V. Small-size ovarian endometriosis. The state of ovarian reserve before and after organ-sparing surgery. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2019; 18(1): 20–27. (In Russian).\nDOI: 10.20953/1726-1678-2019-1-20-27","source_license":"CC0","license_restricted":false}