Changes in Markers of Ovarian Reserve After Laparoscopic Ovarian Cystectomy.
J Minim Invasive Gynecol
; 22(6): 997-1003, 2015.
Article
em En
| MEDLINE
| ID: mdl-25960025
ABSTRACT
STUDY OBJECTIVE:
This study was conducted to determine the changes in ovarian reserve markers after laparoscopic ovarian cystectomy (LOC).DESIGN:
Prospective cohort study (Canadian Task Force classification II-2).SETTING:
University teaching hospital. PATIENTS Fifty 50 patients who underwent LOC were prospectively examined to determine the changes in serum markers of ovarian reserve, starting from 1 month before and 3 months after consecutive operations.INTERVENTIONS:
Changes in serum markers were compared between the following groups endometrioma cysts (n = 26) versus nonendometrioma cysts (n = 24), unilateral cystectomy (n = 38) versus bilateral cystectomy (n = 12), and bilateral endometrioma extirpation (n = 10) versus other cystectomy operations (n = 40). MEASUREMENTS AND MAINRESULTS:
A significant change was noticed between the preoperative and postoperative antimüllerian hormone (AMH) levels (2.67 ± 2.67 ng/mL vs 1.84 ± 1.72 ng/mL, p < .0001). Serum AMH levels were found to be significantly decreased in endometrioma (p = .002), nonendometrioma (p = .019), unilateral cystectomy (p = .001), bilateral cystectomy (p = .005), bilateral endometrioma (p = .011), and cysts other than bilateral endometrioma (p = .000) groups.CONCLUSION:
The ovarian reserve was found to be diminished after LOC regardless of the presence of endometrioma that could be distinguishable by serum AMH levels.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cistos Ovarianos
/
Ovariectomia
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Laparoscopia
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Cistos
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Endometriose
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Hormônio Antimülleriano
/
Reserva Ovariana
Tipo de estudo:
Observational_studies
Limite:
Adult
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Female
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Humans
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article