Changes in Markers of Ovarian Reserve After Laparoscopic Ovarian Cystectomy

Ergun B, Bülent Erğun, Bulent Ergun, Mehmet Özsürmeli, Mehmet Ozsurmeli, Ozsurmeli M, Ozgur Dundar, Özgür Dündar, Dundar O, Cihan Comba, Oguzhan Kuru, Oğuzhan Kuru, Serkan Bodur
Journal of minimally invasive gynecology · 2015 · vol. 22(6) , pp. 997–1003 · doi:10.1016/j.jmig.2015.05.001 · PMID:25960025 · W2150158692
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Laparoscopic ovarian cystectomy significantly decreased serum antimüllerian hormone levels, indicating diminished ovarian reserve regardless of cyst type or laterality.

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Abstract

Study objectiveThis study was conducted to determine the changes in ovarian reserve markers after laparoscopic ovarian cystectomy (LOC).DesignProspective cohort study (Canadian Task Force classification II-2).SettingUniversity teaching hospital.PatientsFifty 50 patients who underwent LOC were prospectively examined to determine the changes in serum markers of ovarian reserve, starting from 1 month before and 3 months after consecutive operations.InterventionsChanges in serum markers were compared between the following groups: endometrioma cysts (n = 26) versus nonendometrioma cysts (n = 24), unilateral cystectomy (n = 38) versus bilateral cystectomy (n = 12), and bilateral endometrioma extirpation (n = 10) versus other cystectomy operations (n = 40).Measurements and main resultsA significant change was noticed between the preoperative and postoperative antimüllerian hormone (AMH) levels (2.67 ± 2.67 ng/mL vs 1.84 ± 1.72 ng/mL, p < .0001). Serum AMH levels were found to be significantly decreased in endometrioma (p = .002), nonendometrioma (p = .019), unilateral cystectomy (p = .001), bilateral cystectomy (p = .005), bilateral endometrioma (p = .011), and cysts other than bilateral endometrioma (p = .000) groups.ConclusionThe ovarian reserve was found to be diminished after LOC regardless of the presence of endometrioma that could be distinguishable by serum AMH levels.

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Condition tags

endometriosis

MeSH descriptors

Anti-Mullerian Hormone Cysts Endometriosis Laparoscopy Ovarian Cysts Ovarian Reserve Ovariectomy Adult Anti-Mullerian Hormone Biomarkers Biomarkers Cysts Endometriosis Endometriosis Female Humans Laparoscopy Middle Aged Ovarian Cysts Ovarian Cysts

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