Serum anti-Müllerian hormone levels decrease after endometriosis surgery

Young-Joo Kim, S.H. Cha, Sun-Wha Cha, Hye Ok Kim, Hye-Ok Kim
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2017 · vol. 37(3) , pp. 342–346 · doi:10.1080/01443615.2016.1239071 · PMID:28129715 · W2580935716
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Serum anti-Müllerian hormone levels significantly decreased after endometriosis surgery, with the decline observed regardless of endometriosis multiplicity, bilaterality, or stage.

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Abstract

The purpose of this study was to evaluate and compare the post-operative decline in serum AMH levels in patients with endometriosis and other benign cysts. This study also attempts to clarify the factors of endometriosis that may influence the AMH level. A total of 75 were recruited prospectively between 2011 and 2012. Fifty-nine patients had endometriosis, while the other 16 had another kind of benign ovarian cyst. In the endometriosis group, the AMH level decreased significantly from pre- to postoperatively (4.3 ± 0.4 vs. 2.8 ± 0.2, p<.001). This significant decrement in AMH levels was present in the endometriosis group regardless of multiplicity (p=.028 vs. p<.001) and bilaterality (p=.003 vs. p<.001). The stage III-IV endometriosis group also demonstrated a significant decrease (p<.001). Laparoscopic ovarian cystectomy in patients with endometriosis may cause a decrease in serum AMH levels. We suggest that preoperative and postoperative AMH levels should be evaluated in reproductive-aged women with endometriosis for their future fertility.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Anti-Mullerian Hormone Endometriosis Endometriosis Ovarian Reserve Adult Anti-Mullerian Hormone Biomarkers Biomarkers Endometriosis Endometriosis Female Humans Laparoscopy Ovarian Cysts Ovarian Cysts Postoperative Period Prospective Studies Statistics, Nonparametric

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (22)

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