Impact of ovarian diseases on fertility reserve as assessed through serum AMH levels in reproductive age women

In: Journal of Endometriosis and Uterine Disorders · 2023 · vol. 4 , pp. 100051 · doi:10.1016/j.jeud.2023.100051 · W4388915047
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This study found that ovarian cancer and endometriomas significantly reduced serum AMH levels, indicating a diminished fertility reserve, while other benign ovarian diseases did not.

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Abstract

The aim of this study was to assess the effect of ovarian diseases on fertility reserve evaluating serum Anti-Mullerian Hormone (AMH) levels. This was a prospective study conducted on 66 reproductive age patients operated for an ovarian mass in the Department of Obstetrics and Gynaecology of a tertiary care teaching hospital in North India. The study included n = 18 cases of ovarian cancer, n = 20 cases of endometrioma and n = 28 cases of other benign ovarian disease. 5 ml of venous blood sample was obtained prior to surgical intervention for serum AMH analysis. Fertility sparing surgeries were done in n = 48 cases and n = 18 cases underwent radical surgeries. Histopathology (HPE) reports were recorded for all cases post-surgery. Serum AMH was correlated with HPE report to see the effect of various ovarian diseases on fertility status. Serum AMH levels in malignant (0.34 ± 0.44 ng/ml) and endometrioma cases (1.50 ± 0.62 ng/ml) were significantly lower (p < 0.05) as compared to those found in cases affected by other inflammatory/benign cyst (3.93 ± 4.76 ng/ml). Ovarian cancer cases had the lowest serum AMH value (0.34 ± 0.44 ng/ml), well below the normal range. Ovarian cancer has an important adverse effect on ovarian fertility reserve, greater than endometriomas. Other benign ovarian tumors do not affect fertility reserve.

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endometrioma

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