Laparoscopic Stripping of Ovarian Endometriosis in Relation to Ovarian Response and Reserve

Mamdoh Tawfik Hamdy
In: Indian Journal of Public Health Research & Development · 2020 · doi:10.37506/ijphrd.v11i5.9415 · W4239613984
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Laparoscopic stripping of ovarian endometriomas in infertile women was associated with reduced ovarian reserve (lower AMH) and ovarian volume, although antral follicle count increased.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper studied ovarian reserve and response after laparoscopic stripping/cystectomy for symptomatic ovarian endometriomas in 40 infertile women of reproductive age, using serum FSH and estradiol, anti-Müllerian hormone (AMH), and antral follicle count (AFC), along with ovulation and pregnancy rates. Three months postoperatively, AFC significantly increased while ovarian volume decreased, but AMH levels significantly decreased and the authors report an overall conclusion that stripping may be associated with worsened ovarian reserve; FSH and estradiol changes were not significant. AMH changes were specifically higher in bilateral lesions, and correlations were observed between AMH and age and between AMH and AFC, but no explicit limitations are described in the provided text. This paper is centrally about endometriosis — it evaluates how laparoscopic stripping of ovarian endometriomas affects ovarian reserve and reproductive outcomes in infertile women.

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Abstract

Objective: To evaluate the changes in ovarian reserve and response after laparoscopic stripping for ovarian endometrioma. Patients and Method: Forty infertile women in reproductive age were submitted to laparoscopic cystectomy and stripping for symptomatic ovarian endometrioma(s) of at least 30mm in diameter. The evaluated parameters were follicle-stimulating hormone (FSH), Estradiol (E2), serum anti-Müllerian hormone (AMH), as well as ovulation and pregnancy rates. Results: Three months after laparoscopy, preoperative antral follicle count (AFC) significantly increased (p<0.001), with a significant reduction in ovarian volume (p<0.001). The levels of AMH at 3 months reduced significantly (p=0.02), with non-significant changes in serum FSH and E2.AMH was significantly increased in bilateral lesions. There was a significant reverse correlation between preoperative AMH and age after laparoscopy. A significant positive correlation between AMH and AFC was detected preoperatively and after 3 months. The ovulation rate was 52.5% at 3 months, with a pregnancy rate of 42.5%. Conclusion: Laparoscopic stripping of ovarian endometriomas may be associated with worsen ovarian reserve.
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Objective

To evaluate the changes in ovarian reserve and response after laparoscopic stripping for ovarian endometrioma. Patients and Method: Forty infertile women in reproductive age were submitted to laparoscopic cystectomy and stripping for symptomatic ovarian endometrioma(s) of at least 30mm in diameter. The evaluated parameters were follicle-stimulating hormone (FSH), Estradiol (E2), serum anti-Müllerian hormone (AMH), as well as ovulation and pregnancy rates.

Results

Three months after laparoscopy, preoperative antral follicle count (AFC) significantly increased (p<0.001), with a significant reduction in ovarian volume (p<0.001). The levels of AMH at 3 months reduced significantly (p=0.02), with non-significant changes in serum FSH and E2.AMH was significantly increased in bilateral lesions. There was a significant reverse correlation between preoperative AMH and age after laparoscopy. A significant positive correlation between AMH and AFC was detected preoperatively and after 3 months. The ovulation rate was 52.5% at 3 months, with a pregnancy rate of 42.5%.

Conclusion

Laparoscopic stripping of ovarian endometriomas may be associated with worsen ovarian reserve.

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Condition tags

endometriosisendometrioma

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