Influence on Ovarian Reservation with Electric Coagulation in Endometriotic Cystectomy under Laparoscopy

Objective:To study the influence on ovarian function after operation with electric coagulation in stripping endometriotic cyst under laparoscopy.Methods:39 patients with endometriotic cyst were chosen and performed with the hemostatic method of electric coagulation in the operation under laparoscopy.The serum levels of follicle stimulating hormone(FSH),luteinizing hormone(LH),and estradiol(E2)were detected;basal antral follicle number(Fo)and peak systolic velocity(PSV)in ovarian stroma was monitored through transvaginal ultrasound as judging ovary reserve function before and after operation,and 6 months later.Results:The serum FSH and LH level in post-operation and 6 months later were significantly higher than pre-operation,while E2,Fo,and PVS were apparently decreased.There were 8 patients(24.2%)whose ovarian function decreased after operation.Conclusions:The hemostatic method of electric coagulation can negatively effect on ovarian reservation during stripping endometriotic cyst under laparoscopy.