Serum antimullerian hormone before and after laparoscopic excision of ovarian endometrioma

YousefM Elsemary, WaleedF G. Mostafa, OsamaS El Taher, HossamEl-Din Mahmoud, RaniaH Aly
In: Journal of Medicine in Scientific Research · 2018 · vol. 1(1) , pp. 30 · doi:10.4103/jmisr.jmisr_20_18 · W2806181412
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This prospective study found that laparoscopic cystectomy for ovarian endometriomas significantly reduced serum AMH levels and increased AFC at 3 months postoperatively.

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This prospective study evaluated changes in ovarian reserve markers after laparoscopic cystectomy for ovarian endometriomas in 60 women, measuring serum antimullerian hormone (AMH) along with FSH, LH, estradiol, and antral follicle count (AFC) before surgery and at 3 months postoperatively. AMH showed a significant decline from baseline (4.12 ± 3.41) to 3 months (2.62 ± 2.7), while AFC increased significantly over the same interval; the authors also report a significant increase in FSH. A key limitation stated in the abstract is the short follow-up period limited to 3 months, leaving longer-term ovarian reserve effects uncharacterized. This paper is centrally about endometriosis — it assesses how laparoscopic excision of ovarian endometrioma affects serum AMH, a measure of ovarian reserve.

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Abstract

BackgroundSurgery of ovarian endometrioma may have a detrimental effect on ovarian reserve. This study aims to evaluate the effect of laparoscopic cystectomy on serum antimullerian hormone (AMH) in patients with endometrioma.Materials and methodsA prospective study was performed at El-Galaa Maternity Teaching Hospital where 60 women with endometriomas underwent laparoscopic cystectomy. Serum AMH, follicle-stimulating hormone (FSH), luteinizing hormone, estradiol, and antral follicle count (AFC) were measured preoperatively and at 3 months postoperatively.Outcome measuresThe ovarian reserve was measured based on the change of AMH level before and after surgery. Moreover, the secondary end point was to detect the changes in FSH, luteinizing hormone, estradiol, and AFC.ResultsSerum AMH decreased significantly from the baseline (4.12 ± 3.41) to 3 months postoperatively (2.62 ± 2.7). The AFC increased significantly from the baseline to 3 months after the operation.ConclusionLaparoscopic cystectomy of ovarian endometriomas causes a significant decline in serum AMH level and a significant increase in the level of FSH.
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Abstract Background Surgery of ovarian endometrioma may have a detrimental effect on ovarian reserve. This study aims to evaluate the effect of laparoscopic cystectomy on serum antimullerian hormone (AMH) in patients with endometrioma. Materials and methods A prospective study was performed at El-Galaa Maternity Teaching Hospital where 60 women with endometriomas underwent laparoscopic cystectomy. Serum AMH, follicle-stimulating hormone (FSH), luteinizing hormone, estradiol, and antral follicle count (AFC) were measured preoperatively and at 3 months postoperatively. Outcome measures The ovarian reserve was measured based on the change of AMH level before and after surgery. Moreover, the secondary end point was to detect the changes in FSH, luteinizing hormone, estradiol, and AFC. Results Serum AMH decreased significantly from the baseline (4.12 ± 3.41) to 3 months postoperatively (2.62 ± 2.7). The AFC increased significantly from the baseline to 3 months after the operation. Conclusion Laparoscopic cystectomy of ovarian endometriomas causes a significant decline in serum AMH level and a significant increase in the level of FSH. Article Type Original Study Recommended Citation Mahmoud, Hossam El-Din; El Taher, Osama S.; Aly, Rania H.; G. Mostafa, Waleed F.; and Elsemary, Yousef M. (2018) "Serum antimullerian hormone before and after laparoscopic excision of ovarian endometrioma," Journal of Medicine in Scientific Research: Vol. 1: Iss. 1, Article 6. DOI: https://doi.org/10.4103/JMISR.JMISR_20_18

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endometrioma

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