Effect of menstrual phase on the surgical treatment of ovarian cysts

Taejong Song, Mi Kyoung Kim, Mi‐La Kim, Mi-La Kim, Yong Wook Jung, Bo Seong Yun, Seok Ju Seong
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2017 · vol. 37(7) , pp. 919–923 · doi:10.1080/01443615.2017.1312313 · PMID:28597715 · W2623220743
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This study found that the timing of laparoscopic ovarian cystectomy within the menstrual cycle did not significantly impact operative blood loss or postoperative ovarian reserve.

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Abstract

This study aimed to determine whether the menstrual cycle affects operative bleeding and postoperative ovarian reserve in patients undergoing laparoscopic ovarian cystectomy. A total of 155 patients who had undergone laparoscopic ovarian cystectomy were classified into the follicular phase (n = 84) and luteal phase (n = 71) of the menstrual cycle. The primary outcome measures were operative blood loss and the rate of decline in ovarian reserve, as calculated by measuring serial serum anti-Müllerian hormone (AMH) levels preoperatively and 3 months postoperatively. No significant difference in the baseline demographics, operative blood loss (p = .984), the rate of decline in ovarian reserve (p = .945), and other surgical outcomes were observed between both the groups. These results demonstrate that the menstrual cycle had no influence on the operative blood loss and ovarian reserve during laparoscopic ovarian cystectomy. Therefore, the menstrual cycle is not an important factor to determine the optimal timing of ovarian cystectomy. Impact statement What is already known on this subject?: The menstrual cycle results in periodic changes in haemostasis and blood flow in the reproductive organs. What do the results of this study add?: These results demonstrate that the menstrual cycle had no influence on the operative blood loss and ovarian reserve during laparoscopic ovarian cystectomy. What are the implications of these findings for clinical practice and/or further research?: The menstrual cycle is not an important factor to determine the optimal timing of ovarian cystectomy.

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MeSH descriptors

Blood Loss, Surgical Follicular Phase Luteal Phase Ovarian Cysts Adult Anti-Mullerian Hormone Anti-Mullerian Hormone Blood Loss, Surgical Female Humans Laparoscopy Laparoscopy Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Reserve Postoperative Period Preoperative Period Time Factors Treatment Outcome

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