Impact of Laparoscopic Ovarian Cystectomy on Ovarian Reserve Assessed by Serum Anti-Mullerian Hormone in Benign Ovarian Cysts: A Prospective Observational Study

Shalini Suman, S. Suman, Sarita Agrawal, Nilaj Bagde, Pushpawati Thakur, Seema Shah, Rahul Kumar
In: NMO Journal · 2024 · vol. 18(2) , pp. 76–80 · doi:10.4103/jnmo.jnmo_37_24 · W4405373219
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Laparoscopic ovarian cystectomy significantly decreased serum anti-Mullerian hormone levels 1 week post-surgery, with partial recovery by 1 month in patients with benign ovarian cysts.

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Abstract

Abstract Objective: This study aims to evaluate the effect of laparoscopic ovarian cystectomy (LOC) on ovarian reserve, measured by serum anti-Mullerian hormone (AMH) levels, in patients with benign ovarian cysts. Materials and Methods: A prospective observational study was conducted at All India Institute of Medical Sciences, Raipur, involving 30 patients undergoing LOC for benign ovarian cysts. Serum AMH levels were measured preoperatively and at 1 week and 1 month postoperatively. The primary outcome was the post-operative change in AMH levels. Results: The mean age of participants was 31.27 ± 6.5 years, and the mean body mass index was 21.57 ± 1.87 kg/m 2 . The mean pre-operative AMH level was 2.46 ± 1.37 ng/mL. AMH levels significantly decreased at 1 week post-surgery (1.06 ± 0.67 ng/mL) but recovered partially by 1 month (1.51 ± 0.92 ng/mL), reaching 35% of the pre-operative value. The decline in AMH was more pronounced in patients with multiple cysts (1.95 ± 0.67 ng/mL) compared to those with a single cyst (1.29 ± 0.72 ng/mL). No significant differences were found related to cyst type (benign vs. endometriotic), size, presence of adhesions, energy sources used or surgeon’s experience. Conclusion: Laparoscopic ovarian cystectomy is associated with decreased ovarian reserve.

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