Ovarian reserve evaluation by anti-mullerian hormone in women undergoing laparoscopic cystectomy of endometrioma.

Suksompong S, Singpetch Suksompong, Dejarkom S, Surachai Dejarkom, Petyim S, Somsin Petyim, Chongdee Dangrat, Dangrat C, Daunpen Orachon, Orachon D, Choavaratana R, Roungsin Choavaratana
Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2012 · vol. 95(11) , pp. 1389–95 · PMID:23252204 · W2146589129
article OA: closed CC0 ⤵ 11 in-corpus citations
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Serum AMH levels decreased one week after endometrioma cystectomy, with no significant recovery by three months, and unilateral surgery showed better ovarian reserve recovery than bilateral.

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Abstract

OBJECTIVE: To study the serial changes of serum AMH to determine ovarian reserve recovery after laparoscopic cystectomy of endometrioma. MATERIAL AND METHOD: Forty-three endometrioma patients who underwent laparoscopic cystectomy of endometrioma were tested for levels of serum AMH at preoperation, 1 week, and 3 months postoperation. RESULTS: Median serum AMH was 2.11 ng/mL (range = 0.22 to 9.24 ng/mL) before surgery. This level also reduced at first week postoperation (p < 0.01) but did not reach a significant difference between the first week and the third month (1.02 ng/mL and 1.06 ng/mL, respectively). The recovery rate of AMH level in unilateral endometrioma was higher than bilateral endometrioma (32.4% vs. -3.6%, p = 0.02). CONCLUSION: Ovarian reserve was decreased after laparoscopic cystectomy of endometrioma and did not significantly restore after three months of postoperation. The recovery of ovarian reserve after unilateral endometriotic cystectomy was faster than that after bilateral endometriotic cystectomy.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Anti-Mullerian Hormone Endometriosis Endometriosis Laparoscopy Adult Anti-Mullerian Hormone Endometriosis Enzyme-Linked Immunosorbent Assay Female Humans Prospective Studies Statistics, Nonparametric Treatment Outcome

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License: CC0 · commercial use OK