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Volume 6, Issue 3 (Summer 2021)                   J Obstet Gynecol Cancer Res 2021, 6(3): 110-115 | Back to browse issues page


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Rezaie Keikhaie K, Kaveh M, Bahrami F, Sadegi K, Kamali A, Afshari M. Comparing the Changes of AMH Level Following Two Methods of Laparoscopic Cystectomy for Evaluating Ovarian Reserve in Patients with Endometrioma. J Obstet Gynecol Cancer Res. 2021; 6 (3) :110-115
URL: http://jogcr.com/article-1-361-en.html
1- Department of Obstetrics and Gynecology, Zabol University of Medical Sciences, Zabol, Iran
2- Department of Obstetrics and Gynecology, Zabol University of Medical Sciences, Zabol, Iran , maniakaveh@gmail.com
3- Zabol University of Medical Sciences, Zabol, Iran
4- Department of Anesthesiology, Zabol University of Medical Sciences Zabol, Iran
5- Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran
6- Department of Epidemiology, Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran
Abstract:   (393 Views)

Background & Objective: Anti-mullerian hormone indicates ovarian reserve. The objective of this study was to compare the changes of AMH level following two methods of laparoscopic cystectomy in order to evaluate ovarian reserve in patients with endometrioma.
Materials & Methods: To this end, 86 patients with endometrioma were selected on the basis of inclusion and exclusion criteria, divided into two groups, and subjected to laparoscopic cystectomy. The mean hormone levels were measured before and after surgery and the changes were compared between the two groups using the repeated measures tests. The data were also analyzed using the SPSS 22.
Results: The mean number of childbirth was 2.06 in patients with a standard deviation of 1.64. Out of 86, 42 patients (48.8%) were treated with complete removal of cysts and the rest underwent partial removal. The length of cysts in patients undergoing complete removal was significantly larger than that in patients with partial removal (P=0.011), while the width of cysts was not significantly different between the two groups of patients (P=0.084). The AMH levels in patients undergoing complete removal significantly decreased from 2.22 before surgery to 1.96 after surgery (P<0.001). The AMH levels in patients undergoing partial removal was also decreased from 2.47 before surgery to 2.14 after surgery, representing a statistically significant difference (P<0.001).
Conclusion: Regarding the results of the study, the type of ovarian cyst removal has not any effect on after-surgery consequences.

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Systematic Review: Original Research | Subject: Obstetrics and Gynecology
Received: 2021/02/13 | Accepted: 2021/04/14 | Published: 2021/06/18

References
1. Hsu M-I. Changes in the PCOS phenotype with age. Steroids. 2013;78(8):761-6. [DOI:10.1016/j.steroids.2013.04.005] [PMID]
2. Carvalho L, Nataraj N, Rao J, Khetarpal S, Abrão MS, Agarwal A. Seven ways to preserve female fertility in patients with endometriosis. Expert Rev Obstet Gynecol. 2012;7(3):227-40. [DOI:10.1586/eog.12.19]
3. Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility: lippincott Williams & wilkins; 2005.
4. Missmer SA, Hankinson SE, Spiegelman D, Barbieri RL, Marshall LM, Hunter DJ. Incidence of laparoscopically confirmed endometriosis by demographic, anthropometric, and lifestyle factors. Am J Epidemiol. 2004;160(8):784-96. [DOI:10.1093/aje/kwh275] [PMID]
5. Jenkins S, Olive DL, Haney AF. Endometriosis: pathogenetic implications of the anatomic distribution. Obstet Gynecol. 1986;67(3):335-8.
6. Redwine DB. Ovarian endometriosis: a marker for more extensive pelvic and intestinal disease. Fertil Steril. 1999; 72(2):310-5. [DOI:10.1016/S0015-0282(99)00211-3]
7. Vercellini P, Chapron C, De Giorgi O, Consonni D, Frontino G, Crosignani PG. Coagulation or excision of ovarian endometriomas? Am J Obstet Gynecol. 2003;188(3):606-10. [DOI:10.1067/mob.2003.7] [PMID]
8. Barnhart K, Dunsmoor-Su R, Coutifaris C. Effect of endometriosis on in vitro fertilization. Fertil Steril. 2002;77(6):1148-55. [DOI:10.1016/S0015-0282(02)03112-6]
9. Raffi F, Shaw R, Amer S. National survey of the current management of endometriomas in women undergoing assisted reproductive treatment. Human reproduct. 2012;27(9):2712-9. [DOI:10.1093/humrep/des195] [PMID]
10. Gelbaya TA, Gordts S, D'Hooghe TM, Gergolet M, Nardo LG. Management of endometrioma prior to IVF: compliance with ESHRE guidelines. Reproduct Biomed Online. 2010;21(3):325-30. [DOI:10.1016/j.rbmo.2010.04.023] [PMID]
11. Hirokawa W, Iwase A, Goto M, Takikawa S, Nagatomo Y, Nakahara T, et al. The post-operative decline in serum anti-Müllerian hormone correlates with the bilaterality and severity of endometriosis. Human Reproduct. 2011;26(4):904-10. [DOI:10.1093/humrep/der006] [PMID]
12. Pados G, Tsolakidis D, Assimakopoulos E, Athanatos D, Tarlatzis B. Sonographic changes after laparoscopic cystectomy compared with three-stage management in patients with ovarian endometriomas: a prospective randomized study. Human reproduct. 2010;25(3):672-7. [DOI:10.1093/humrep/dep448] [PMID]
13. Hart R, Hickey M, Maouris P, Buckett W, Garry R. Excisional surgery versus ablative surgery for ovarian endometriomata: a Cochrane Review. Human Reproduct. 2005;20(11):3000-7. [DOI:10.1093/humrep/dei207] [PMID]
14. Dan H, Limin F. Laparoscopic ovarian cystectomy versus fenestration/coagulation or laser vaporization for the treatment of endometriomas: a meta-analysis of randomized controlled trials. Gynecol Obstet Invest. 2013;76(2):75-82. [DOI:10.1159/000351165] [PMID]
15. Raffi F, Metwally M, Amer S. The impact of excision of ovarian endometrioma on ovarian reserve: a systematic review and meta-analysis. J Clin Endocrinol Metabol. 2012;97(9):3146-54. [DOI:10.1210/jc.2012-1558] [PMID]
16. Somigliana E, Berlanda N, Benaglia L, Viganò P, Vercellini P, Fedele L. Surgical excision of endometriomas and ovarian reserve: a systematic review on serum antimüllerian hormone level modifications. Fertil Steril. 2012;98(6):1531-8. [DOI:10.1016/j.fertnstert.2012.08.009] [PMID]
17. Kennedy S, Bergqvist A, Chapron C, D'Hooghe T, Dunselman G, Greb R, et al. ESHRE guideline for the diagnosis and treatment of endometriosis. Human Reproduct. 2005;20(10):2698-704. [DOI:10.1093/humrep/dei135] [PMID]
18. Chapron C, Vercellini P, Barakat H, Vieira M, Dubuisson J-B. Management of ovarian endometriomas. Human Reproduct Update. 2002;8(6):591-7. [DOI:10.1093/humupd/8.6.591] [PMID]
19. Somigliana E, Arnoldi M, Benaglia L, Iemmello R, Nicolosi AE, Ragni G. IVF-ICSI outcome in women operated on for bilateral endometriomas. Human Reproduct. 2008;23(7):1526-30. [DOI:10.1093/humrep/den133] [PMID]
20. Mirteymori, Masoumeh D, Poorhosseini, Azam, Emadzadeh, Maryam D, et al. Evaluation of maternal and fetal complications in natural childbirth after cesarean section. Iran J Obstet, Gynecol Infertil. 2020; 23 (8): 1-7.
21. Owczarek D, Malinowski A, Wilczyński M. Ovarian reserve evaluation after laparoscopic cyst enucleation, depending on applied haemostasis technique and with particular consideration of endometrial cysts. Przeglad Menopauzalny= Menopause Rev. 2018;17(1):22. [DOI:10.5114/pm.2018.74899] [PMID] [PMCID]
22. Nouri M, Aghadavod E, Farzadi L. Comparison of anti-Mullerian Hormone average between laparoscopic and treatment with clomiphene citrate in patients with polycystic ovarian syndrome. J Shahrekord Uni Med Sci. 2016;18.
23. Mirza Moradi M, Bakhtiyari M, Mahmoodi M, Heidar Z. relation between AMH level and ovarian reserve in infertile women candidate for assisted reproductive treatment. Med J Mashhad Uni Med Sci. 2017;60(4):597-609.
24. Alborzi S, Keramati P, Younesi M, Samsami A, Dadras N. The impact of laparoscopic cystectomy on ovarian reserve in patients with unilateral and bilateral endometriomas. Fertil Steril. 2014;101(2):427-34. [DOI:10.1016/j.fertnstert.2013.10.019] [PMID]
25. Celik HG, Dogan E, Okyay E, Ulukus C, Saatli B, Uysal S, et al. Effect of laparoscopic excision of endometriomas on ovarian reserve: serial changes in the serum antimüllerian hormone levels. Fertil Steril. 2012;97(6):1472-8. [DOI:10.1016/j.fertnstert.2012.03.027] [PMID]
26. Chen Y, Pei H, Chang Y, Chen M, Wang H, Xie H, et al. The impact of endometrioma and laparoscopic cystectomy on ovarian reserve and the exploration of related factors assessed by serum anti-Mullerian hormone: a prospective cohort study. J Ovarian Res. 2014;7(1):1-8. https://doi.org/10.1186/s13048-016-0301-4 [DOI:10.1186/s13048-014-0108-0] [PMID] [PMCID]
27. Mostaejeran F, Hamoush Z, Rouholamin S. Evaluation of antimullerian hormone levels before and after laparoscopic management of endometriosis. Adv Biomed Res. 2015;4.
28. Celik HG, Dogan E, Okyay E, Ulukus C, Saatli B, Uysal S, et al. Effect of laparoscopic excision of endometriomas on ovarian reserve: serial changes in the serum antimüllerian hormone levels. Fertil Steril. 2012;97(6):1472-8. [DOI:10.1016/j.fertnstert.2012.03.027] [PMID]

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