Ultrasonographic evaluation and anti-mullerian hormone levels after laparoscopic stripping of unilateral endometriomas

Ercan CM, Cihangir Mutlu Ercan, Namık Kemal Duru, Duru NK, Kazim Emre Karasahin, Karasahin KE, Kazım Emre Karaşahin, Hakan Çoksüer, Coksuer H, Hakan Coksuer, Murat Dede, Dede M, İskender Başer, Iskender Baser, Baser I
European journal of obstetrics, gynecology, and reproductive biology · 2011 · vol. 158(2) , pp. 280–284 · doi:10.1016/j.ejogrb.2011.04.043 · PMID:21621899 · W2004822676
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This study evaluated the changes in ovarian volume and anti-Müllerian hormone (AMH) levels in women following laparoscopic stripping of unilateral endometriomas.

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Abstract

ObjectiveTo evaluate the ovarian reserve after laparoscopic stripping of unilateral endometriomas by comparing the operated and non-operated ovaries.Study designBilateral ovarian volumes, antral follicle counts, and stromal blood flows were assessed by ultrasonography and anti-mullerian hormone (AMH) levels were analysed in 36 patients who had undergone laparoscopic cystectomy for unilateral ovarian endometrioma.ResultsMean antral follicle counts (AFC) of the operated side ovaries were significantly lower on the second postoperative day (3.1 ± 2.4 vs 5.2 ± 3.7; p<0.05) and in the third month (3.7 ± 2.1 vs 6.4 ± 2.7; p<0.05). Pulsatility indices of the operated ovaries were significantly decreased on the second postoperative day (2.22 ± 0.46 vs 1.76 ± 0.51; p<0.05) while resistance indices were increased (0.81 ± 0.06 vs 0.88 ± 0.13; p0.05).ConclusionAlthough laparoscopic stripping of endometriomas seems to affect the ovarian reserve in terms of AFCs, it does not have a significant negative impact at the end of three months as assessed by ovarian volumes, Doppler indices and AMH levels. Endometrioma surgery techniques are important in preserving normal functioning ovaries and further studies are necessary for optimising these surgical approaches.

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Condition tags

endometriosis

MeSH descriptors

Anti-Mullerian Hormone Endometriosis Adult Anti-Mullerian Hormone Endometriosis Endometriosis Endometriosis Female Humans Laparoscopy Ovary Ovary Ultrasonography Young Adult

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