Fertility and sterility · 2026
The impact of laparoscopic cystectomy on ovarian reserve in patients with unilateral and bilateral endometriomas.
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Alborzi Saeed, Keramati Pegah, Younesi Masoomeh, Samsami Alamtaj, Dadras Nasrin
Аннотация
OBJECTIVE: To evaluate the effects of laparoscopic cystectomy on ovarian reserve in patients with endometriomas.
DESIGN: Prospective study.
PATIENTS: A total of 193 patients with endometriomas undergoing laparoscopic cystectomy.
INTERVENTION(S): Serum levels of antimüllerian hormone (AMH), follicle-stimulating hormone (FSH), and estradiol (E2), as well as antral follicle count (AFC), were measured preoperatively and 1 week, 3 months, and 9 months postoperatively for AMH, and 3 months for other values.
MAIN OUTCOME MEASURES: Ovarian reserve based on the comparison of AMH alterations. The secondary endpoints are changes in FSH, E2, and AFC.
RESULTS: Serum AMH levels decreased significantly from the baseline (3.863 ± 3.576 ng/mL) to 1 week (1.664 ± 1.918 ng/mL), 3 months (2.065 ± 2.497 ng/mL), and 9 months (1.773 ± 1.764 ng/mL) postoperatively. Patients with bilateral endometriomas had significantly lower AMH levels at 1 week, 3 months, and 9 months postoperatively. Also, patients older than 38 years had lower postoperative AMH levels. The FSH levels increased significantly from baseline to 3 months postoperatively. The AFC levels increased significantly from baseline to 3 months after surgery.
CONCLUSIONS: The AMH levels decreased and the FSH levels increased after laparoscopic cystectomy for endometriomas, especially in older patients and those with bilateral cysts.
DESIGN: Prospective study.
PATIENTS: A total of 193 patients with endometriomas undergoing laparoscopic cystectomy.
INTERVENTION(S): Serum levels of antimüllerian hormone (AMH), follicle-stimulating hormone (FSH), and estradiol (E2), as well as antral follicle count (AFC), were measured preoperatively and 1 week, 3 months, and 9 months postoperatively for AMH, and 3 months for other values.
MAIN OUTCOME MEASURES: Ovarian reserve based on the comparison of AMH alterations. The secondary endpoints are changes in FSH, E2, and AFC.
RESULTS: Serum AMH levels decreased significantly from the baseline (3.863 ± 3.576 ng/mL) to 1 week (1.664 ± 1.918 ng/mL), 3 months (2.065 ± 2.497 ng/mL), and 9 months (1.773 ± 1.764 ng/mL) postoperatively. Patients with bilateral endometriomas had significantly lower AMH levels at 1 week, 3 months, and 9 months postoperatively. Also, patients older than 38 years had lower postoperative AMH levels. The FSH levels increased significantly from baseline to 3 months postoperatively. The AFC levels increased significantly from baseline to 3 months after surgery.
CONCLUSIONS: The AMH levels decreased and the FSH levels increased after laparoscopic cystectomy for endometriomas, especially in older patients and those with bilateral cysts.