{"paper_id":"dcd49181-e651-4480-94b7-83024d698729","body_text":"Laparoscopic Stripping of Ovarian Endometriosis in Relation to Ovarian Response and Reserve\nDOI:\nhttps://doi.org/10.37506/ijphrd.v11i5.9415Keywords:\nOvarian endometriosis, infertility, laparoscopic cystectomy, ovarian reserve, ovarian response.Abstract\nObjective: To evaluate the changes in ovarian reserve and response after laparoscopic stripping for ovarian\nendometrioma.\nPatients and Method: Forty infertile women in reproductive age were submitted to laparoscopic cystectomy\nand stripping for symptomatic ovarian endometrioma(s) of at least 30mm in diameter. The evaluated\nparameters were follicle-stimulating hormone (FSH), Estradiol (E2), serum anti-Müllerian hormone (AMH),\nas well as ovulation and pregnancy rates.\nResults: Three months after laparoscopy, preoperative antral follicle count (AFC) significantly increased\n(p<0.001), with a significant reduction in ovarian volume (p<0.001). The levels of AMH at 3 months reduced\nsignificantly (p=0.02), with non-significant changes in serum FSH and E2.AMH was significantly increased\nin bilateral lesions. There was a significant reverse correlation between preoperative AMH and age after\nlaparoscopy. A significant positive correlation between AMH and AFC was detected preoperatively and after\n3 months. The ovulation rate was 52.5% at 3 months, with a pregnancy rate of 42.5%.\nConclusion: Laparoscopic stripping of ovarian endometriomas may be associated with worsen ovarian\nreserve.","source_license":"CC0","license_restricted":false}