Combined effects of age and endometriosis on ovarian reserve in women with infertility

Ido Feferkorn, Eva Suarthana, Hormoz Nassiri Kigloo, Ikram Abow-Mohamed, Ikram Abow‐Mohamed, Yasna Golyari, Togas Tulandi
International Journal of Gynecology & Obstetrics · 2022 · vol. 161(1) , pp. 129–136 · doi:10.1002/ijgo.14519 · PMID:36263878 · W4306869261
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Abstract

OBJECTIVE: To evaluate the combined effects of age and endometriosis on ovarian reserve in women with infertility. METHODS: We conducted a cross-sectional study using an institutional database. Women with sonographic, laparoscopic, or histologic evidence of endometriosis were defined as the study group and the remaining women served as a control group. We evaluated demographic and clinical characteristics of the groups as a whole and stratified the patients into those aged 35 years or older and those younger than 35 years at the time of ovarian reserve testing. RESULTS: Of a total of 656 women included in the final analysis, 71 women had a diagnosis of endometriosis. When compared with women without endometriosis, the median anti-Müllerian hormone (AMH) and antral follicular count (AFC) values were significantly lower in the group of women with endometriosis-median 2.1 ng/ml (interquartile range [IQR] 1.1-3.9) versus 1.2 ng/ml (IQR 0.6-2.4; P < 0.001) for AMH and 14 follicles (IQR 8-23) versus 7 follicles (IQR 5-14; P < 0.001) for AFC. When stratified into two age groups the association between a lower AFC and endometriosis remained significant for both age groups whereas the association between a lower AMH and endometriosis was significant only for the group of women aged 35 years oor older. CONCLUSION: Our study highlights a detrimental effect by endometriosis and an age enhancement effect of endometriosis on ovarian reserve.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Infertility Infertility Infertility Infertility Infertility Ovarian Reserve Ovarian Reserve Ovarian Reserve Ovarian Reserve Ovarian Reserve Anti-Mullerian Hormone Anti-Mullerian Hormone Anti-Mullerian Hormone Anti-Mullerian Hormone

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