الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Endometriosis, the presence of endometrial tissue outside the lining of the uterine cavity, is one of the most common pelvic diseases in women. It is generally acknowledged that an estimated 6–10% of all women during their reproductive years are affected by this condition. Objective: to evaluate the effect of laparoscopic ovarian cystectomy for endometrioma on ovarian reserve in patients with infertility. Design: This study was conducted on 34 women with infertility undergoing laparoscopic ovarian cystectomy for endometrioma at Ain Shams University Maternity Hospital in the period between August 2017 and August 2019,4 patients were excluded by postoperative histopathological exclusion of endometrioma ultrarasound and biochemical markers of ovarian reserve were measured preoperatively and 1 month postoperatively. Results: There was a highly significant difference between pre and post intervention AMH, FSH, Estrogen, AFC and ovarian volume. Conclusion: however Laparoscopy is extremely useful in the diagnosis and treatment of endometriomas. We concluded that laparoscopic ovarian cystectomy of endometrioma led to significant decrease of AMH levels, AFC and ovarian volumes. It also led to significant increase of FSH and estrogen levels which indicates the possible deleterious effect of laparoscopic ovarian cystectomy for endometrioma on ovarian reserve and subsequently on fertility and live birth rates. |