Assessment of Ovarian Reserve in Women with Endometriosis
While antral follicle count is operator-dependent and less reliable in women with endometriosis, anti-Müllerian hormone is a more reproducible marker for assessing ovarian reserve.
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The paper reviews how endometriosis and endometriomas affect ovarian reserve, focusing on methods that estimate primordial follicles using ultrasound-derived antral follicle count and endocrine markers, especially anti-Mullerian hormone (AMH). It argues that antral follicle count can be less reliable in endometriosis because disease-related anatomic distortion and endometriomas can compromise side-specific assessment, whereas AMH is operator-independent and more reproducible; additionally, chronological age remains the only reliable qualitative parameter of ovarian reserve. A key limitation acknowledged is that measurement challenges and endometriosis-related effects can complicate interpretation of ultrasound-based markers. This paper is centrally about endometriosis — specifically assessing ovarian reserve measurement and marker reliability in women with endometriosis and endometriomas.
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References (38)
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