Impact of endometriomas and their removal on ovarian reserve

Current Opinion in Obstetrics & Gynecology
Baris Ata, Gurkan Uncu

Abstract

The effect of endometrioma on ovulatory function and ovarian reserve was unclear. Conflicting opinions exist regarding effect of endometrioma excision on ovarian reserve. Endometriomas do not seem to affect ovulatory function. Women with endometrioma have lower antral follicle count and serum anti-Müllerian hormone levels than age-matched healthy controls. There is high-quality evidence suggesting a significant decline in serum anti-Müllerian hormone levels following endometrioma excision. However, a similarly significant decline in antral follicle count is not demonstrated. Cauterization seems to be a contributing factor to ovarian damage and suturing the cyst bed could perhaps be a better alternative. It seems prudent to warn patients regarding loss of ovarian reserve following endometrioma excision. Surgeons should cautiously limit the use of cauterization following stripping of endometrioma. Well designed studies comparing effect of various haemostatic measures on ovarian reserve are needed.

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Jun 11, 2016·Human Reproduction·Stefano GuerrieroDirk Timmerman
Jun 14, 2017·Systems Biology in Reproductive Medicine·Ismail GulerMehmet Erdem
Feb 12, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Ryan CranneyShannon Reid
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Feb 9, 2019·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Yu WangAlfred O Mueck
Apr 29, 2015·Current Opinion in Obstetrics & Gynecology·Juan Antonio Garcia Velasco, Emre Seli
Dec 19, 2017·Human Reproduction Open·UNKNOWN Working group of ESGE, ESHRE and WESRudy Leon De Wilde
Dec 18, 2019·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Anjeza XholliAngelo Cagnacci
Jan 24, 2019·Obstetrics & Gynecology Science·Hyun Jong ParkWoo Sik Lee
May 20, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Cihan KayaEngin Oral

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