Antimullerian hormone levels after laparoscopic endometrioma stripping surgery

Ercan CM, Cihangir Mutlu Ercan, Sakinci M, Mehmet Sakinci, Mehmet Sakıncı, Duru NK, Namık Kemal Duru, Namik Kemal Duru, İbrahim Alanbay, Karasahin KE, Kazim Emre Karasahin, Kazım Emre Karaşahin, Baser I, İskender Başer, Iskender Baser
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2010 · vol. 26(6) , pp. 468–472 · doi:10.3109/09513591003632134 · PMID:20170345 · W2059329611
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Laparoscopic endometrioma stripping surgery did not significantly alter AMH levels, suggesting no short-term damage to healthy ovarian tissue, and AMH levels were not correlated with endometrioma size.

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Abstract

OBJECTIVE: To evaluate whether a change takes place in antimullerian hormone (AMH) levels reflecting the ovarian reserve after laparoscopic endometrioma stripping surgery and to demonstrate if there is any correlation between AMH levels and the sizes of endometriomas. METHOD: Fourty-seven women participated as the study group in this prospective controlled trial, 33 of whom (70.2%) had unilateral and 14 (29.7%) of whom had bilateral endometriomas. Pre- and post-operative serum AMH levels were measured and compared with 17 normo-ovulatory control cases and also correlated with endometrioma sizes. RESULT(S): Mean pre-operative AMH levels of the study group and the normo-ovulatory control cases did not reveal a statistically significant difference (1.62 +/- 1.09 ng/ml and 2.06 +/- 0.51 ng/ml, P > 0.05). Mean level of post-operative serum AMH of the study group decreased from 1.62 +/- 1.09 to 1.39 +/- 1.16. However, this reduction was not statistically significant. (P > 0.05). Pre- and post-operative AMH levels do not reveal a correlation with the size of endometrioma in both group of patients with either unilateral or bilateral endometrioma. CONCLUSION(S): The presence of the endometrioma does not impair the AMH levels. Laparoscopic endometrioma stripping surgery do not appear to cause a damage in the AMH secreting healthy ovarian tissue, in the short-term follow-up. Laparoscopic stripping surgery of endometriomas in experienced hands is currently a valid approach.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Anti-Mullerian Hormone Endometriosis Adult Anti-Mullerian Hormone Endometriosis Endometriosis Female Humans Laparoscopy Prospective Studies

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