Impact of laparoscopic ovarian detorsion on ovarian reserve

Cenk Yaşa, Özlem Dural, Ercan Baştu, Masallah Zorlu, Ömer Demir, Funda Güngör Uğurlucan
In: Journal of Obstetrics and Gynaecology Research · 2016 · vol. 43(2) , pp. 298–302 · doi:10.1111/jog.13195 · PMID:27928855 · W2742205870
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Abstract

AIM: The aim of this study was to evaluate ovarian reserve after laparoscopic ovarian detorsion in patients with ovarian torsion. METHODS: From February 2014 to September 2015, a total of 11 patients with ovarian torsion underwent laparoscopic detorsion. These 11 patients were eligible for study, and ovarian reserve was assessed on serum anti-Müllerian hormone (AMH) and by antral follicle count preoperatively, and in postoperative months 1 and 3. RESULTS: Mean patient age was 25.4 ± 5.5 years. Although mean antral follicle count on the operated side was slightly lower than on the contralateral side at 1 month postoperatively (P > 0.05), at 3 months postoperatively there was no difference in mean antral follicle count between the operated and contralateral sides (P > 0.05). There was no significant change in serum AMH level at 1 and 3 months postoperatively compared with the preoperative level (P > 0.05). CONCLUSIONS: Laparoscopic detorsion of twisted ovary is a safe procedure to preserve ovarian function, and does not impair ovarian reserve according to antral follicle count and AMH during the course of follow-up.

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