{"paper_id":"dc61b740-7170-400c-8975-8d98fc90867c","body_text":"Surgical Techniques to Reduce the Diminished Ovarian Reserve Risk of Endometrial Cyst\nDOI:\nhttps://doi.org/10.3889/oamjms.2021.6342Keywords:\nEndometriosis, Ovarian reserve, CystectomyAbstract\nAIM: The objective of the study was to report the endometriosis case and surgical technique to reduce the diminished ovarian reserve risk.\nCASE PRESENTATION: A 32-year-old woman was presented with the lower abdominal pain since 1 year ago, intermittent, and got worse during menstruation. The mobile cystic mass was palpable on the abdomen without pain during palpation. Vaginal examination showed mobile and smooth surface cystic mass was palpable, the upper pole was three fingers below the umbilicus, and lower pole was in line with pubic symphysis. Transvaginal ultrasonography (TVUS) showed uterus and right ovary enlargement; and unilocular cyst with homogenous echo pattern. There was a marked increase in CA-125. Based on International Tumor Analysis, the tumor was classified as B1 unilocular cyst and the malignancy risk index was 600. The patient was diagnosed with endometriosis and laparotomy cystectomy was performed.\nCONCLUSION: Patient was diagnosed with endometrial cyst and laparotomy cystectomy was performed as treatment. Ovarian cystectomy in infertile women was shown to have comparable ovarian reserve (OR), reduced pain symptoms, and increased conception among infertile patients.Downloads\nMetrics\nPlum Analytics Artifact Widget Block\nReferences\nBulun SE, Yilmaz BD, Sison C, Miyazaki K, Bernardi L, Liu S, et al. Endometriosis. Endocr Rev. 2019;40(4):1048-79. PMid:30994890 DOI: https://doi.org/10.1210/er.2018-00242\nHidayat A, Hendry D. Characteristics of Patients With Endometriosis and Adenomyosis in Dr. M. Djamil Padang During January 2017-October 2018. Andalas Obstet Gynecol J. 2019;3(1):1-14. https://doi.org/10.25077/aogj.3.1.29-41.2019 DOI: https://doi.org/10.25077/aogj.3.1.29-41.2019\nWu IB, Tendean HM, Mewengkang ME. Tendean HM, Mewengkang ME. Description of The Characteristics of Patients with Endometriosis in RSUP Prof. Dr. R.D. Kandou Manado. J E-Clin. 2017;5(2):1-7. https://doi.org/10.35790/ecl.5.2.2017.18568 DOI: https://doi.org/10.35790/ecl.5.2.2017.18568\nWorking group of ESGE, ESHRE, and WES, Saridogan E, Becker CM, Feki A, Grimbizis GF, Hummelshoj L, et al. Recommendations for the surgical treatment of endometriosis-part 1: Ovarian endometrioma. Gynecol Surg. 2017;14(1):27. https://doi.org/10.1186/s10397-017-1029-x PMid:29285022 DOI: https://doi.org/10.1186/s10397-017-1029-x\nZanelitti A, DeCherney AH. Surgery and endometriosis. Clin Obstet Gynecol. 2017;60(3):477-84. PMid:28742580 DOI: https://doi.org/10.1097/GRF.0000000000000291\nBerek JS, Novak NF, Adams SR, Anderson JR. Berek & Novak’s Gynecology. United States: Lippincott Williams; 2007.\nRusda M, Rahman DH. The influence of health promotion on female students’ behaviour in SMA An-Nizam Medan about endometriosis. Open Access Maced J Med Sci. 2019;7(20):3366-9. https://doi.org/10.3889/oamjms.2019.424 PMid:32002052 DOI: https://doi.org/10.3889/oamjms.2019.424\nKukstas C. Endometriosis. InnovAiT. 2017;10(9):533-9. DOI: https://doi.org/10.1177/1755738017716189\nStekly WW, Kew CC, Chern BS. Endometriosis: A review of the diagnosis and pain management. Gynecol Minim Invasive Ther. 2015;4:106-9. DOI: https://doi.org/10.1016/j.gmit.2015.06.005\nCarvalho L, Nataraj N, Rao J, Khetarpal S, Abrao MS, Agarwal A. Seven ways to preserve female fertility in patients with endometriosis. Exp Rev Obstet Gynecol. 2012;7(3):228-31. https://doi.org/10.1586/eog.12.19 DOI: https://doi.org/10.1586/eog.12.19\nCarrillo L, Seidman DS, Cittadini E, Meirow D. The role of fertility preservation in patients with endometriosis. J Assist Reprod Genet. 2016;33(3):317-23. https://doi.org/10.1007/s10815-016-0646-z PMid:26768141 DOI: https://doi.org/10.1007/s10815-016-0646-z\nCranney R, Condous G, Reid S. An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma. Acta Obstet Gynecol Scand. 2017;96(6):633-43. https://doi.org/10.1111/aogs.13114 PMid:28186620 DOI: https://doi.org/10.1111/aogs.13114\nHendarto HH. Endometriosis: Dari Aspek Teori Sampai Penanganan Klinis. Vol. 1. Surabaya: Airlangga University Press; 2015. p. 67-76.\nPaulson JD, Habli M, Alizade A, Borromeo R. The treatment of mild endometriosis with laser laparoscopy: A two-step treatment analysis of patients whose primary therapy was successful. JSLS. 2006;10(1):30-6. PMid:16709353\nTsolakidis D, Pados G, Vavilis D, Athanatos D, Tsalikis T, Giannakou A, et al. The impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas: A prospective randomized study. Fertil Steril. 2010;94(6):71-7. https://doi.org/10.1016/j.fertnstert.2009.01.138 DOI: https://doi.org/10.1016/j.fertnstert.2009.01.138\nBiacchiardi CP, Piane LD, Camanni M, Deltetto F, Delpiano EM, Marchino GL, et al. Laparoscopic stripping of endometriomas negatively affects ovarian follicular reserve even if performed by experienced surgeons. Reprod Biomed Online. 2011;23(6):740-6. https://doi.org/10.1016/j.rbmo.2011.07.014 PMid:22019621 DOI: https://doi.org/10.1016/j.rbmo.2011.07.014\nKüpker W, Felberbaum RE, Krapp M, Schill T, Malik E, Diedrich K. Use of GnRH antagonists in the treatment of endometriosis. Reprod Biomed Online. 2002;5(1):12-6. https://doi.org/10.1016/s1472-6483(10)61590-8 PMid:12470539 DOI: https://doi.org/10.1016/S1472-6483(10)61590-8\nDonnez J, Lousse JC, Jadoul P, Donnez O, Squifflet J. Laparoscopic management of endometriomas using a combined technique of excisional (cystectomy) and ablative surgery. Fertil Steril. 2010;94(1):28-32. https://doi.org/10.1016/j.fertnstert.2009.02.065 PMid:19361793 DOI: https://doi.org/10.1016/j.fertnstert.2009.02.065\nOzaki R, Kumakiri J, Tinelli A, Grimbizis GF, Kitade M, Takeda S. Evaluation of factors predicting diminished ovarian reserve before and after laparoscopic cystectomy for ovarian endometriomas: A prospective cohort study. J Ovarian Res. 2016;9(1):37. https://doi.org/10.1186/s13048-016-0241-z PMid:27329142 DOI: https://doi.org/10.1186/s13048-016-0241-z\nDownloads\nPublished\nHow to Cite\nIssue\nSection\nCategories\nLicense\nCopyright (c) 2021 Muhammad Rusda, Ichwanul Adenin, Oki M. Prabudi, J. Syaputra, Andrina Yunita Murni Rambe (Author)\nThis work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.\nThis is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)","source_license":"CC0","license_restricted":false}