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Effect of laparoscopic excision of endometriomas on ovarian reserve: serial changes in the serum antimüllerian hormone levels

Celik, Hale Goksever, M.D ; Dogan, Erbil, M.D ; Okyay, Emre, M.D ; Ulukus, Cagnur, M.D ; Saatli, Bahadir, M.D ; Uysal, Sezer, M.D ; Koyuncuoglu, Meral, M.D

Fertility and sterility, 2012-06, Vol.97 (6), p.1472-1478 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Effect of laparoscopic excision of endometriomas on ovarian reserve: serial changes in the serum antimüllerian hormone levels
Autor: Celik, Hale Goksever, M.D ; Dogan, Erbil, M.D ; Okyay, Emre, M.D ; Ulukus, Cagnur, M.D ; Saatli, Bahadir, M.D ; Uysal, Sezer, M.D ; Koyuncuoglu, Meral, M.D
Assuntos: Adolescent ; Adult ; animal ovaries ; Anti-Mullerian Hormone - blood ; antimüllerian hormone ; antral follicle count ; Biological and medical sciences ; blood serum ; confidence interval ; Digestive system. Abdomen ; Endometrioma ; Endometriosis - surgery ; Endoscopy ; Estradiol - blood ; excision ; Female ; Female genital diseases ; Fertility - physiology ; Follicle Stimulating Hormone - blood ; follicle-stimulating hormone ; Gynecology. Andrology. Obstetrics ; histopathology ; Humans ; Infertility, Female - etiology ; Infertility, Female - metabolism ; Infertility, Female - pathology ; Internal Medicine ; Investigative techniques, diagnostic techniques (general aspects) ; laparoscopy ; Laparoscopy - adverse effects ; luteinizing hormone ; Luteinizing Hormone - blood ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Obstetrics and Gynecology ; odds ratio ; Ovarian Follicle - pathology ; Ovarian Follicle - physiology ; ovarian reserve ; patients ; Postoperative Complications - etiology ; Postoperative Complications - metabolism ; Prospective Studies ; women ; Young Adult
É parte de: Fertility and sterility, 2012-06, Vol.97 (6), p.1472-1478
Notas: http://dx.doi.org/10.1016/j.fertnstert.2012.03.027
ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Objective To investigate the effect of laparoscopic endometrioma stripping on serum antimüllerian hormone (AMH) and the correlation between the clinicopathologic factors. Design Prospective study. Setting University hospital. Patient(s) Sixty-five women with endometriomas. Intervention(s) All patients underwent laparoscopic cystectomy. Serum AMH, FSH, LH, E2 , and antral follicle count (AFC) were measured preoperatively, at 6 weeks, and at 6 months postoperatively. Specimens were analyzed histopathologically. Main Outcome Measure(s) The primary end point was to assess the ovarian reserve damage based on alterations of AMH and the secondary end point was to detect the changes in FSH, LH, E2 , and AFC. Result(s) Serum AMH decreased significantly at the sixth month (61%) postoperatively. The FSH level increased significantly at the sixth week, but returned to normal at the sixth month. The AFC increased significantly at the sixth week and at the sixth month. The AMH level decrease was more evident in patients with the cyst <5 cm (65.7% vs. 41.3%). The AMH decrease was more in bilateral compared with unilateral endometriomas (67% versus 57%, respectively). No correlation was detected between the histopathologic analyses and tAMH level. Initially the AMH level was the only independent factor affecting the AMH decrease (odds ratio, 3.68; 95% confidence interval 1.66–8.14). Conclusion(s) Laparoscopic cystectomy of ovarian endometriomas causes a significant and progressive decline in serum AMH levels.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Effect of laparoscopic excision of endometriomas on ovarian reserve: serial changes in the serum antimüllerian hormone levels

Celik, Hale Goksever, M.D ; Dogan, Erbil, M.D ; Okyay, Emre, M.D ; Ulukus, Cagnur, M.D ; Saatli, Bahadir, M.D ; Uysal, Sezer, M.D ; Koyuncuoglu, Meral, M.D

New York, NY: Elsevier Inc

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