期刊
FERTILITY AND STERILITY
卷 94, 期 1, 页码 71-77出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.fertnstert.2009.01.138
关键词
Endometrioma; laporoscopic stripping; laparoscopic laser vaporization; ovarian reserve; anti-Mullerian hormone
Objective: To investigate the effect of two different laparoscopic methods on ovarian reserve in patients with ovarian endometriomas. Design: Prospective, randomized clinical trial. Setting: Endoscopy unit of a university hospital. Patient(s): Twenty women with endometriomas. Intervention(s): Patients were randomly selected to undergo either laparoscopic cystectomy for endometrioma (group 1) or the three-step procedure (group 2). Before and 6 months after laparoscopy all patients were evaluated, and 12 months postoperatively they underwent ultrasound scan examination. Main Outcome Measure(s): The primary end point was ovarian reserve damage based on the alterations of anti-Mullerian hormone (AMH). Secondary end points were the changes of antral follicle count and serum concentration of FSH, LH, E-2, and inhibin B. Result(s): Mean serum AMH was reduced significantly from 3.9-2.9 ng/mL in group 1 compared with the reduction from 4.5-3.99 ng/mL in group 2. Conclusion(s): Ovarian reserve determined by AMH is less diminished after the three-step procedure compared with cystectomy of endometriomas. (Fertil Steril (R) 2010;94:71-7. (C) 2010 by American Society for Reproductive Medicine.)
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