The Difference Between Post-Laparoscopic Cystectomy Anti-Mullerian Hormone Levels In Endometrioma And Non-Endometrioma Cysts Patients

Cornelius Danu Kurniawan
In: Diponegoro International Medical Journal · 2023 · vol. 4(1) , pp. 7–11 · doi:10.14710/dimj.v4i1.16053 · W4385276865
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

Endometrioma patients had lower pre- and post-laparoscopic cystectomy anti-Mullerian hormone levels, but both groups showed similar decreases in AMH after surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This prospective cohort study enrolled 40 patients undergoing laparoscopic cystectomy at Kariadi General Hospital Semarang and divided them into endometrioma and non-endometrioma cyst groups, measuring serum anti-Müllerian hormone (AMH) levels before and after surgery. AMH was lower in the endometrioma group both preoperatively (9.47 ± 5.26 ng/mL) and postoperatively (7.80 ± 4.27 ng/mL), with a statistically significant within-group change after laparoscopic cystectomy (p=0.004). Both groups showed a decrease in AMH after surgery, but there was no significant difference in delta AMH between endometrioma and non-endometrioma groups, and the paper does not report any additional limitations such as sample size justification. This paper is centrally about endometriosis — it compares post-laparoscopic cystectomy AMH changes in endometrioma versus non-endometrioma cysts.

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Abstract

Background: Endometrioma is a complex gynecological disease with increasing global prevalence. Laparoscopic cystectomy remains to be the primary choice of modality. Several studies, however, have revealed that laparoscopic cystectomy in endometriomas can cause ovarian damage and reduction in ovarian reserve. They demonstrated a decrease in serum AMH levels in endometrioma patients following laparoscopic cystectomyObjective: To identify the difference between the mean post-laparoscopic cystectomy AMH levels in endometrioma and non-endometrioma cysts patientsMethods: A prospective cohort study with 40 selected patients undergoing laparoscopic cystectomy in Kariadi General Hospital Semarang. They were divided into 2 groups of endometrioma and non-endometrioma cysts. AMH levels were measured before and after laparoscopic cystectomy surgery in both groupsResults: The mean age of endometrioma and non-endometrioma group were 32.40 ± 6.26 and 30.6 ± 3.69 years consecutively. The most common cysts were unilateral cysts with a diameter of > 4 cm which were dominated by endometrioma cysts. The group of subjects with endometrial cysts had lower AMH levels, both before (9.47 + 5.26 ng/mL) and after laparoscopic cystectomy (7.80 + 4.27 ng/mL). AMH levels before and after laparoscopic cystectomy in the endometrioma group showed a significant difference (p=0.004). In contrast, there was no significant difference in delta AMH between the non-endometrioma group (-1.63 + 4.12; p=0.685) and the endometrioma group (-1.74 + 2.37 ng/mL; p=0.685)Conclusion: Both endometrioma and non-endometrioma groups showed a decrease in AMH levels after laparoscopic cystectomy but they did not show a significant difference.
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Abstract

Background: Endometrioma is a complex gynecological disease with increasing global prevalence. Laparoscopic cystectomy remains to be the primary choice of modality. Several studies, however, have revealed that laparoscopic cystectomy in endometriomas can cause ovarian damage and reduction in ovarian reserve. They demonstrated a decrease in serum AMH levels in endometrioma patients following laparoscopic cystectomy

Objective

To identify the difference between the mean post-laparoscopic cystectomy AMH levels in endometrioma and non-endometrioma cysts patients

Methods

A prospective cohort study with 40 selected patients undergoing laparoscopic cystectomy in Kariadi General Hospital Semarang. They were divided into 2 groups of endometrioma and non-endometrioma cysts. AMH levels were measured before and after laparoscopic cystectomy surgery in both groups

Results

The mean age of endometrioma and non-endometrioma group were 32.40 ± 6.26 and 30.6 ± 3.69 years consecutively. The most common cysts were unilateral cysts with a diameter of > 4 cm which were dominated by endometrioma cysts. The group of subjects with endometrial cysts had lower AMH levels, both before (9.47 + 5.26 ng/mL) and after laparoscopic cystectomy (7.80 + 4.27 ng/mL). AMH levels before and after laparoscopic cystectomy in the endometrioma group showed a significant difference (p=0.004). In contrast, there was no significant difference in delta AMH between the non-endometrioma group (-1.63 + 4.12; p=0.685) and the endometrioma group (-1.74 + 2.37 ng/mL; p=0.685)

Conclusion

Both endometrioma and non-endometrioma groups showed a decrease in AMH levels after laparoscopic cystectomy but they did not show a significant difference.Article Metrics: Article Info Last update: No citation recorded. Last update: No citation recorded.

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endometrioma

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