Impact of Endometrioma Treatment on Ovarian Reserve

Munkhbayar Choijiljaw, Yanjinsuren Darmaa, Munkhbayarlakh Sonomjamts, Amarjargal Olzvoi
In: Central Asian Journal of Medical Sciences · 2020 · vol. 6(3) , pp. 177–187 · doi:10.24079/cajms.2020.09.009 · W4312949938
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Abstract

Objectives: To evaluate the ovarian reserve by measuring AMH level after the both treatment of drug and surgery for Endometrioma. Methods: We studied 129 patients who have diagnosed with ovarian endometrioma, aged 20-46 years, using case-control study design. There are 4 groups with medication and surgeries. Results: There were significant reduction of pain in patients who received synthetic progestin (p = 0.001) groups. Serum AMH were 3.48 ± 0.9 before treatment and 3.41 ± 1.0 after treatment respectively (p = 0.456). Prior treatment of laparoscopic surgery with progestin 3 months, it decreases abdominal lower pain (p = 0.001) and dysmenorrhea (p = 0.001). Serum AMH level were 3.11 ± 1.8 before surgery and 2.21 ± 0.2 after surgery, respectively (p = 0.005). Conclusions: Laparoscopic surgery might be decrease ovarian reserve which leads to infertility later life in women who has ovarian endometrioma with ovarian cystectomy.
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Keywords

Ovarian Endometrioma, Laparoscopic Surgery, Infertility, Synthetic Progestin, Antral FollicleAbstract

Objectives

To evaluate the ovarian reserve by measuring AMH level after the both treatment of drug and surgery for Endometrioma. Methods: We studied 129 patients who have diagnosed with ovarian endometrioma, aged 20-46 years, using case-control study design. There are 4 groups with medication and surgeries. Results: There were significant reduction of pain in patients who received synthetic progestin (p = 0.001) groups. Serum AMH were 3.48 ± 0.9 before treatment and 3.41 ± 1.0 after treatment respectively (p = 0.456). Prior treatment of laparoscopic surgery with progestin 3 months, it decreases abdominal lower pain (p = 0.001) and dysmenorrhea (p = 0.001). Serum AMH level were 3.11 ± 1.8 before surgery and 2.21 ± 0.2 after surgery, respectively (p = 0.005). Conclusions: Laparoscopic surgery might be decrease ovarian reserve which leads to infertility later life in women who has ovarian endometrioma with ovarian cystectomy. 610 Downloads Published How to Cite Issue Section License Copyright (c) 2020 Mongolian National University of Medical Sciences This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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endometriomadysmenorrheainfertility

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