المؤلفون: Muzii, Ludovico, Di Tucci, Chiara, Di Feliciantonio, Mara, Galati, Giulia, Pecorella, Irene, Radicioni, Antonio, Anzuini, Antonella, Piccioni, Maria Grazia, Patacchiola, Felice, Benedetti Panici, Pierluigi

المصدر: Reproductive Sciences; Nov2019, Vol. 26 Issue 11, p1493-1498, 6p

مصطلحات موضوعية: OVARIAN follicle, LAPAROSCOPIC surgery, OVARIAN reserve, SURGICAL excision, ANTI-Mullerian hormone, OVARIAN cysts, SURGERY

مستخلص: The aim of the present study was to evaluate the effect of laparoscopic cystectomy on ovarian reserve by means of anti-Müllerian hormone (AMH) serial measurements and to compare AMH values with the number of inadvertently removed follicles in histological specimens. Fifty-two women were enrolled: 34 patients with endometriomas (group 1) and 18 patients with other benign ovarian cysts (group 2). All patients underwent laparoscopic cystectomy performed by a single experienced surgeon. The AMH was measured before, and 1, 3, and 6 months after cystectomy in group 1, and before and 6 months after surgery in group 2. Preoperative AMH levels (mean [standard deviation, SD]) in group 1 (3.39 [2.43] ng/mL) were not significantly different from group 2 (3.74 [2.57] ng/mL; P =.68). In group 1, a significant decrease in AMH levels of 43.4% was observed at 1 month (1.93 [1.36]; P =.003), and of 63.1% at 3 months (1.25 [1.00]; P =.007) postoperatively. The AMH increased not significantly between the third and sixth months in group 1 (+9.4%). Six months after surgery, AMH was reduced by 59.3% compared to baseline values in group 1 (P =.012), and by 29.5% in group 2 (P =.200). A significant difference in the AMH decrease was present between bilateral and monolateral endometriomas (P =.006). There was no correlation between the reduction rate of AMH and the number of follicles inadvertently removed in patients with endometriomas (P =.669). In conclusion, AMH decreases significantly after surgical excision of ovarian endometriomas. The postoperative decrease does not appear to correlate with the amount of ovarian tissue inadvertently excised with the endometrioma wall. [ABSTRACT FROM AUTHOR]

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