OVARIAN RESERVE AFTER SURGERY OF ENDOMETRIOSIS CYSTS
Abstract:
Ovarian endometrioma is a common problem in gynaecological pathology, especially in
female infertility surgery. Adequate surgical treatment of endometriomas has long been debated and
continues to be a controversial topic.(1) The aim of the paper is to evaluate the impact of
laparoscopic surgical treatment of endometriomas on the ovarian reserve. The inclusion criteria were
patients of reproductive age, symptomatic (infertility, pain), primary unilateral or bilateral
endometriomas, the size of the endometriomas to be between 3 cm and 8 cm. The mean diameter of the
endometriomas was 4.5 cm. There was a decrease of 0,65 ng/ml in the level of Anti Mulerian
Hormone (AMH) at 6 months after surgery compared to the initial values. There was also a 1.4 IU /
ml increase in Foliculo-Stimulator Hormone (FSH) levels 6 months after surgery compared to presurgery
values. Cystectomy is preferable to drainage or stripping and laser coagulation because it
has the lowest frequency of recurrence
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