ORIGINAL ARTICLE |
|
Year : 2018 | Volume
: 1
| Issue : 1 | Page : 30-34 |
|
Serum antimullerian hormone before and after laparoscopic excision of ovarian endometrioma
Yousef M Elsemary, Waleed F G. Mostafa, Osama S El Taher, Hossam El-Din Mahmoud, Rania H Aly
Department of Obstetrics ang Gynaecology, El-Galaa Maternity Teaching Hospital, Cairo, Egypt
Correspondence Address:
Yousef M Elsemary Mohamed Y. Elsemary FRCOG, El-Galaa Maternity Teaching Hospital, Cairo Egypt
Source of Support: None, Conflict of Interest: None | 1 |
DOI: 10.4103/JMISR.JMISR_20_18
|
|
Background
Surgery of ovarian endometrioma may have a detrimental effect on ovarian reserve. This study aims to evaluate the effect of laparoscopic cystectomy on serum antimullerian hormone (AMH) in patients with endometrioma.
Materials and methods
A prospective study was performed at El-Galaa Maternity Teaching Hospital where 60 women with endometriomas underwent laparoscopic cystectomy. Serum AMH, follicle-stimulating hormone (FSH), luteinizing hormone, estradiol, and antral follicle count (AFC) were measured preoperatively and at 3 months postoperatively.
Outcome measures
The ovarian reserve was measured based on the change of AMH level before and after surgery. Moreover, the secondary end point was to detect the changes in FSH, luteinizing hormone, estradiol, and AFC.
Results
Serum AMH decreased significantly from the baseline (4.12 ± 3.41) to 3 months postoperatively (2.62 ± 2.7). The AFC increased significantly from the baseline to 3 months after the operation.
Conclusion
Laparoscopic cystectomy of ovarian endometriomas causes a significant decline in serum AMH level and a significant increase in the level of FSH.
|
|
|
|
[FULL TEXT] [PDF]* |
|
|
|