Laparoscopic Cystectomy of Endometrioma Outcomes on Follicle Stimulating Hormone and Anti-Müllerian Hormone Levels as Predictors of the Ovarian Reserve
Laparoscopic cystectomy for endometriomas resulted in increased FSH and decreased AMH levels in patients, indicating a reduction in ovarian reserve.
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This prospective analytical study evaluated how laparoscopic cystectomy for endometrioma affected ovarian reserve by measuring serum baseline follicle-stimulating hormone (FSH) and anti-Müllerian hormone (AMH) levels in 31 patients at Dr. Hasan Sadikin Hospital between June and August 2016. FSH and AMH were assessed one month before and after surgery, with patients stratified into age ranges 20–35 years (n=16) and 36–42 years (n=15). After laparoscopic cystectomy, FSH increased while AMH decreased in both age groups (P<0.001). The paper specifically frames this as indicating reduced ovarian reserve post-procedure and does not report additional limitations or outcome caveats beyond the short follow-up window implied by the one-month measurement. This paper is centrally about endometriosis — laparoscopic cystectomy of endometrioma and its impact on ovarian reserve biomarkers (FSH/AMH).
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