International Journal of Women's Health and Reproduction Sciences

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Jan 2023, Vol 11, Issue 1

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Brief Report
Laparoscopic Cystectomy of Endometrioma Outcomes on Follicle Stimulating Hormone and Anti-Müllerian Hormone Levels as Predictors of the Ovarian Reserve
Ruswana Anwar, Agnes Wijaya, David Halim, Kemala Isnainiasih Mantilidewi, Saskia Medinawati Soraya, Tono Djuwantono, Wiryawan Permadi, Budi Handono, Sofie Krisnadi, Jusuf Effendi, Duddy Nataprawira
Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia
IJWHR 2023; 11: 037-041 DOI: 10.15296/ijwhr.2023.07 Viewed : 1046 times Downloaded : 1020 times. Keywords : Anti-Müllerian hormone, Cystectomy, Endometrioma, Follicle stimulating hormone, Laparoscopy, Ovarian reserve
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Abstract

Objectives: This study aimed to examine the effect of a laparoscopic cystectomy on ovarian reserve assessed by measuring the levels of serum follicle stimulating hormone (FSH) and anti-Müllerian hormone (AMH). Materials and Methods: This prospective, analytical study measured the changes of basal FSH and AMH in endometrioma patients undergoing laparoscopic cystectomy in Dr. Hasan Sadikin Hospital from June to August 2016. An informed written consent was obtained from all patients prior to the study. Their FSH and AMH serum levels were examined one month before and after the surgery. Results: A total of 31 patients were included in the study and divided into two groups based on two age ranges of 20-35 years (n=16) and 36-42 years (n=15). It was found that the FSH serum levels increased whereas the AMH serum levels decreased in both groups after laparoscopic cystectomy (P<0.001). Conclusions: Laparoscopic cystectomy of patients with reduced endometrioma ovarian reserve was characterized by elevation of FSH serum levels and reduction of AMH serum levels.