Impact of Endometrioma Surgery on Ovarian Reserve

Stefano Angioni, Francesco Scicchitano, Marco Sigilli, Antonio G. Succu, Stefania Saponara, Maurizio Nicola D’Alterio
In: ISGE Series · 2020 · pp. 73–81 · doi:10.1007/978-3-030-57866-4_8 · W3112724625
book-chapter OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This review focuses on latest laparoscopic procedures for ovarian endometrioma excision, evaluating their impact on ovarian reserve using anti-Mullerian hormone and antral follicular count.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This chapter reviews laparoscopic management of ovarian endometriomas, focusing on how surgical excision using the stripping technique and alternative methods (with different energy sources such as CO2 laser, argon plasma, or diode laser) affect ovarian reserve. Across cited studies, ovarian reserve is commonly assessed using anti-Müllerian hormone (AMH) and antral follicular count (AFC), with the chapter’s key point being that excision may risk loss or damage to healthy ovarian tissue because follicles adhere to the pseudo-capsule and coagulation can damage tissue. A major limitation is that the evidence summarized is heterogeneous across techniques and study designs, making direct comparisons difficult. This paper is centrally about endometriosis — it specifically addresses how ovarian endometrioma surgery impacts ovarian reserve markers like AMH and AFC.

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endometrioma

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last seen: 2026-06-10T17:14:06.276822+00:00
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