IMPACT OF LAPAROSCOPIC OVARIAN CYSTECTOMY VERSUS LAPAROSCOPIC COAGULATION ON OVARIAN RESERVE IN CASES OF OVARIAN ENDOMETRIOMA

Abstract

Objectives: To compare between laparoscopic ovarian cystectomy and
laparoscopic ovarian coagulation on ovarian reserve in cases of ovarian
endometrioma.
Cases, methods: Prospective randomized cohort study had been conducted
form January 2014 to January 2016 at Laparoscopic, Cytogenetic Unit of
Obstetrics, Gynecology at Faculty of Medicine, Zagazig University Hospitals.
Fifty cases had included in the study. They had put in two groups; one for
laparoscopic cystectomy for ovarian endometrioma (group I), the other for
laparoscopic coagulation for ovarian endometrioma (group II). Antimullerian
Hormone (AMH) had been measured preoperatively, on day 3 of the first, third,
six menstrual cycle after surgery. Transvaginal U/S had been performed for
assessment of Antenatal Follicle Count (AFC), ovarian volume, stromal blood
flow of the ovary preoperatively, on first ,third, six menstrual cycle after
surgery.
Results: Results showed a highly significant reduction of AMH, AFC, ovarian
volume, stromal blood flow for both groups.
Conclusion: Laparoscopic surgery for endometrioma was associated with
impaired ovarian reserve. The decrease in ovarian reserve was more
pronounced in the cystectomy group when compared to the coagulation group.
Key Words: endometriosis, infertility, ovarian reserve