Basal E2, FSH, and AFC of Endometrioma Patients Undergoing In Vitro Fertilization (IVF)

Rendy Primananda Zilmi, Jimmy Yanuar Annas, Muhammad Yohanes Ardianta Widyanugraha, Relly Yanuari Primariawan, Lila Dewata Azinar
In: International Journal of Research Publications · 2021 · vol. 90(1) · doi:10.47119/ijrp1009011220212507 · W4200460368
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⚙ AI-generated summary by claude@2026-06, 2026-06-28 ⓘ

Endometrioma patients undergoing IVF had significantly lower basal E2 levels compared to non-endometriosis patients, with no significant differences in basal E2, FSH, or AFC between cystectomy and conservative treatment groups.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-13 · read from full text ⓘ

This analytical observational case-control study used medical record data from a fertility clinic (2018–2020) to compare basal estradiol (E2), follicle-stimulating hormone (FSH), and antral follicle count (AFC) between women with endometrioma undergoing IVF and non-endometriosis patients, reporting whether these parameters differed and how they related to treatment history. The authors found that endometrioma patients had significantly lower basal E2 levels than non-endometriosis patients, while basal E2, FSH, and AFC did not significantly differ between those who had endometrioma cystectomy and those receiving conservative management. The paper’s main limitation is that it relied on retrospective medical record data without further mechanistic analysis of why these baseline hormones differed. This paper is centrally about endometriosis—specifically measuring basal E2, FSH, and AFC in endometrioma patients undergoing IVF.

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Abstract

Background: Endometriosis is a common disease among women of reproductive age and often associated with infertility. Endometrioma is one of the most common manifestations in endometriosis patient. In Vitro Fertilization is one of the methods used as infertility management in endometriosis women. There are some basal parameters that could affect the IVF result, such as basal E2, FSH and AFC. This study aim is to analyze the basal E2, FSH and AFC of women with endometrioma patients compared to non-endometriosis patients. Methods: This is an analytical observational study with case-control method using medical record data at the Fertility Polyclinic of Graha Amerta Dr. Soetomo General Hospital Surabaya, Indonesia in period of 2018-2020. Result: There was a significant difference in basal E2 levels, the group of women with endometrioma had lower basal E2 levels than non-endometriosis. There were no significant differences in basal E2, FSH and AFC in post endometrioma cystectomy group compared to endometrioma with conservative treatment. Conclusion: Endometrioma patients had lower basal E2 level compared to non-endometriosis patient. Consideration of endometrioma cystectomy prior to IVF should be done wisely.
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Abstract

Background: Endometriosis is a common disease among women of reproductive age and often associated with infertility. Endometrioma is one of the most common manifestations in endometriosis patient. In Vitro Fertilization is one of the methods used as infertility management in endometriosis women. There are some basal parameters that could affect the IVF result, such as basal E2, FSH and AFC. This study aim is to analyze the basal E2, FSH and AFC of women with endometrioma patients compared to non-endometriosis patients.

Methods

This is an analytical observational study with case-control method using medical record data at the Fertility Polyclinic of Graha Amerta Dr. Soetomo General Hospital Surabaya, Indonesia in period of 2018-2020.

Result

There was a significant difference in basal E2 levels, the group of women with endometrioma had lower basal E2 levels than non-endometriosis. There were no significant differences in basal E2, FSH and AFC in post endometrioma cystectomy group compared to endometrioma with conservative treatment.

Conclusion

Endometrioma patients had lower basal E2 level compared to non-endometriosis patient. Consideration of endometrioma cystectomy prior to IVF should be done wisely.

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Condition tags

endometriosisendometriomainfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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