The impact of endometrioma and laparoscopic cystectomy on ovarian reserve and the exploration of related factors assessed by serum anti-Mullerian hormone: a prospective cohort study
To evaluate the impact of the presence of endometrioma and laparoscopic cystectomy on ovarian reserve as assessed by serum anti-Müllerian hormone (AMH) level. In addition, factors related to the decline in ovarian reserve were analyzed. From June 2013 to January 2014, we prospectively included 40 wo...
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| Veröffentlicht in: | Journal of ovarian research 2014-11, Vol.7 (1), p.108-108, Article 108 |
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| creator | Chen, Yuqing Pei, Huihui Chang, Yajie Chen, Minghui Wang, Haihe Xie, Hongzhe Yao, Shuzhong |
| description | To evaluate the impact of the presence of endometrioma and laparoscopic cystectomy on ovarian reserve as assessed by serum anti-Müllerian hormone (AMH) level. In addition, factors related to the decline in ovarian reserve were analyzed.
From June 2013 to January 2014, we prospectively included 40 women with endometriomas as the study group (group A), 36 women with tubal factor infertilities as control group 1 (group B) and 22 women with the other benign ovarian cysts as control group 2 (group C). The women with ovarian cysts underwent laparoscopic cystectomy. Serum AMH levels were determined preoperatively and at 1 month after surgery.
The endometrioma group had lower AMH levels (1.53 ± 1.37 ng/ml) compared with the other benign ovarian cyst group (2.20 ± 1.23 ng/ml) and the tubal factor infertility group (2.82 ± 1.74 ng/ml). The rate of serum AMH decline 1 month after surgery in the endometrioma group (0.62 ± 0.35) was larger than the decline in the other benign ovarian cyst group (0.32 ± 0.30). The preoperative AMH level showed a significant correlation with patient age (group A, r = -0.32; group B, r = -0.54; group C, r = -0.71); there was a statistically significant correlation between the rate of serum AMH decline and endometrioma diameter as well as with the preoperative serum AMH level. In addition, the rate of serum AMH decline was larger for bilateral endometriomas than for unilateral endometriomas, but there was no similar correlation in the other benign ovarian cyst group. The rate of AMH decline after surgery in the subgroup of >7 cm was significantly higher than in the subgroup of ≤7 cm.
Ovarian endometriomas per se may damage ovarian reserve, and cystectomy of endometriomas may cause greater damage to ovarian reserve compared with other benign ovarian cysts. The operation-related damage to the ovarian reserve was positively related to whether the endometriomas were bilateral, as well as cyst size (especially for cysts >7 cm), but was negatively related to the preoperative serum AMH level. Age was a negative factor that affected the ovarian reserve. |
| doi_str_mv | 10.1186/s13048-014-0108-0 |
| format | Article |
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From June 2013 to January 2014, we prospectively included 40 women with endometriomas as the study group (group A), 36 women with tubal factor infertilities as control group 1 (group B) and 22 women with the other benign ovarian cysts as control group 2 (group C). The women with ovarian cysts underwent laparoscopic cystectomy. Serum AMH levels were determined preoperatively and at 1 month after surgery.
The endometrioma group had lower AMH levels (1.53 ± 1.37 ng/ml) compared with the other benign ovarian cyst group (2.20 ± 1.23 ng/ml) and the tubal factor infertility group (2.82 ± 1.74 ng/ml). The rate of serum AMH decline 1 month after surgery in the endometrioma group (0.62 ± 0.35) was larger than the decline in the other benign ovarian cyst group (0.32 ± 0.30). The preoperative AMH level showed a significant correlation with patient age (group A, r = -0.32; group B, r = -0.54; group C, r = -0.71); there was a statistically significant correlation between the rate of serum AMH decline and endometrioma diameter as well as with the preoperative serum AMH level. In addition, the rate of serum AMH decline was larger for bilateral endometriomas than for unilateral endometriomas, but there was no similar correlation in the other benign ovarian cyst group. The rate of AMH decline after surgery in the subgroup of >7 cm was significantly higher than in the subgroup of ≤7 cm.
Ovarian endometriomas per se may damage ovarian reserve, and cystectomy of endometriomas may cause greater damage to ovarian reserve compared with other benign ovarian cysts. The operation-related damage to the ovarian reserve was positively related to whether the endometriomas were bilateral, as well as cyst size (especially for cysts >7 cm), but was negatively related to the preoperative serum AMH level. Age was a negative factor that affected the ovarian reserve.</description><identifier>ISSN: 1757-2215</identifier><identifier>EISSN: 1757-2215</identifier><identifier>DOI: 10.1186/s13048-014-0108-0</identifier><identifier>PMID: 25424986</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Age ; Anti-Mullerian Hormone - blood ; Case-Control Studies ; Cystectomy ; Cysts ; Endometriosis ; Endometriosis - blood ; Endometriosis - physiopathology ; Endometriosis - surgery ; Female ; Hospitals ; Humans ; Infertility ; Infertility, Female - blood ; Infertility, Female - physiopathology ; Infertility, Female - surgery ; Laparoscopy ; Ovarian Cysts - blood ; Ovarian Cysts - physiopathology ; Ovarian Cysts - surgery ; Ovarian Reserve ; Prospective Studies ; ROC Curve ; Sperm ; Surgery ; Ultrasonic imaging ; Women ; Young Adult</subject><ispartof>Journal of ovarian research, 2014-11, Vol.7 (1), p.108-108, Article 108</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Chen et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Chen et al.; licensee BioMed Central Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b652t-f60badf2b68258eff9a13d1e41ac516e53bcfbf2a32a1e11070547e53a98eb2e3</citedby><cites>FETCH-LOGICAL-b652t-f60badf2b68258eff9a13d1e41ac516e53bcfbf2a32a1e11070547e53a98eb2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255637/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255637/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25424986$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Yuqing</creatorcontrib><creatorcontrib>Pei, Huihui</creatorcontrib><creatorcontrib>Chang, Yajie</creatorcontrib><creatorcontrib>Chen, Minghui</creatorcontrib><creatorcontrib>Wang, Haihe</creatorcontrib><creatorcontrib>Xie, Hongzhe</creatorcontrib><creatorcontrib>Yao, Shuzhong</creatorcontrib><title>The impact of endometrioma and laparoscopic cystectomy on ovarian reserve and the exploration of related factors assessed by serum anti-Mullerian hormone: a prospective cohort study</title><title>Journal of ovarian research</title><addtitle>J Ovarian Res</addtitle><description>To evaluate the impact of the presence of endometrioma and laparoscopic cystectomy on ovarian reserve as assessed by serum anti-Müllerian hormone (AMH) level. In addition, factors related to the decline in ovarian reserve were analyzed.
From June 2013 to January 2014, we prospectively included 40 women with endometriomas as the study group (group A), 36 women with tubal factor infertilities as control group 1 (group B) and 22 women with the other benign ovarian cysts as control group 2 (group C). The women with ovarian cysts underwent laparoscopic cystectomy. Serum AMH levels were determined preoperatively and at 1 month after surgery.
The endometrioma group had lower AMH levels (1.53 ± 1.37 ng/ml) compared with the other benign ovarian cyst group (2.20 ± 1.23 ng/ml) and the tubal factor infertility group (2.82 ± 1.74 ng/ml). The rate of serum AMH decline 1 month after surgery in the endometrioma group (0.62 ± 0.35) was larger than the decline in the other benign ovarian cyst group (0.32 ± 0.30). The preoperative AMH level showed a significant correlation with patient age (group A, r = -0.32; group B, r = -0.54; group C, r = -0.71); there was a statistically significant correlation between the rate of serum AMH decline and endometrioma diameter as well as with the preoperative serum AMH level. In addition, the rate of serum AMH decline was larger for bilateral endometriomas than for unilateral endometriomas, but there was no similar correlation in the other benign ovarian cyst group. The rate of AMH decline after surgery in the subgroup of >7 cm was significantly higher than in the subgroup of ≤7 cm.
Ovarian endometriomas per se may damage ovarian reserve, and cystectomy of endometriomas may cause greater damage to ovarian reserve compared with other benign ovarian cysts. The operation-related damage to the ovarian reserve was positively related to whether the endometriomas were bilateral, as well as cyst size (especially for cysts >7 cm), but was negatively related to the preoperative serum AMH level. Age was a negative factor that affected the ovarian reserve.</description><subject>Adult</subject><subject>Age</subject><subject>Anti-Mullerian Hormone - blood</subject><subject>Case-Control Studies</subject><subject>Cystectomy</subject><subject>Cysts</subject><subject>Endometriosis</subject><subject>Endometriosis - blood</subject><subject>Endometriosis - physiopathology</subject><subject>Endometriosis - surgery</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infertility</subject><subject>Infertility, Female - blood</subject><subject>Infertility, Female - physiopathology</subject><subject>Infertility, Female - surgery</subject><subject>Laparoscopy</subject><subject>Ovarian Cysts - blood</subject><subject>Ovarian Cysts - physiopathology</subject><subject>Ovarian Cysts - surgery</subject><subject>Ovarian Reserve</subject><subject>Prospective Studies</subject><subject>ROC Curve</subject><subject>Sperm</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><subject>Women</subject><subject>Young Adult</subject><issn>1757-2215</issn><issn>1757-2215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptUs1u1DAQjhCIlsIDcEGWkBCXFNuJnSyHSlX5lYq4lLPlOOOuKycOtrNiH4z3Y9ItZRdVcWTL8_1Y801RvGT0lLFWvkusonVbUlbjT_HwqDhmjWhKzpl4vHc-Kp6ldEOp5G1dPS2OuKh5vWrlcfH7ag3EDZM2mQRLYOzDADm6MGiix554PekYkgmTM8RsUwaTw7AlYSRho6PTI4mQIG7gFp5RDX5NPkSd3YKxWPY6Q08sWoSYiE4JcPWk2xIkzgMSsyu_zd7Drd46xCGM8J5oMqH1hI4O5U3AQiYpz_32efHEap_gxd1-Uvz49PHq4kt5-f3z14vzy7KTgufSStrp3vJOtly0YO1Ks6pnUDNtBJMgqs7YznJdcc2AMdpQUTd4rVctdByqk-JspzvN3QC9gTFH7dUU3aDjVgXt1GFldGt1HTaq5kLIqkGBDzuBDjv6sMBhxYRB7WJVGKtaYlUUZd7evSOGnzOkrAaXDHivRwhzUkw2TdVIVnOEvv4PehPmOGKXEFUxyau2Ef9Q19qDcqMN6G4WUXUuaipl1fLF9vQBFH49DM5gRtbh_QHhzR5hDdrndQp-XmYhHQLZDmgw4RTB3reEUbXM9oNNeLUfxj3j7zBXfwCkXfkR</recordid><startdate>20141126</startdate><enddate>20141126</enddate><creator>Chen, Yuqing</creator><creator>Pei, Huihui</creator><creator>Chang, Yajie</creator><creator>Chen, Minghui</creator><creator>Wang, Haihe</creator><creator>Xie, Hongzhe</creator><creator>Yao, Shuzhong</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141126</creationdate><title>The impact of endometrioma and laparoscopic cystectomy on ovarian reserve and the exploration of related factors assessed by serum anti-Mullerian hormone: a prospective cohort study</title><author>Chen, Yuqing ; Pei, Huihui ; Chang, Yajie ; Chen, Minghui ; Wang, Haihe ; Xie, Hongzhe ; Yao, Shuzhong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b652t-f60badf2b68258eff9a13d1e41ac516e53bcfbf2a32a1e11070547e53a98eb2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age</topic><topic>Anti-Mullerian Hormone - blood</topic><topic>Case-Control Studies</topic><topic>Cystectomy</topic><topic>Cysts</topic><topic>Endometriosis</topic><topic>Endometriosis - blood</topic><topic>Endometriosis - physiopathology</topic><topic>Endometriosis - surgery</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infertility</topic><topic>Infertility, Female - blood</topic><topic>Infertility, Female - physiopathology</topic><topic>Infertility, Female - surgery</topic><topic>Laparoscopy</topic><topic>Ovarian Cysts - blood</topic><topic>Ovarian Cysts - physiopathology</topic><topic>Ovarian Cysts - surgery</topic><topic>Ovarian Reserve</topic><topic>Prospective Studies</topic><topic>ROC Curve</topic><topic>Sperm</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Yuqing</creatorcontrib><creatorcontrib>Pei, Huihui</creatorcontrib><creatorcontrib>Chang, Yajie</creatorcontrib><creatorcontrib>Chen, Minghui</creatorcontrib><creatorcontrib>Wang, Haihe</creatorcontrib><creatorcontrib>Xie, Hongzhe</creatorcontrib><creatorcontrib>Yao, Shuzhong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of ovarian research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Yuqing</au><au>Pei, Huihui</au><au>Chang, Yajie</au><au>Chen, Minghui</au><au>Wang, Haihe</au><au>Xie, Hongzhe</au><au>Yao, Shuzhong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of endometrioma and laparoscopic cystectomy on ovarian reserve and the exploration of related factors assessed by serum anti-Mullerian hormone: a prospective cohort study</atitle><jtitle>Journal of ovarian research</jtitle><addtitle>J Ovarian Res</addtitle><date>2014-11-26</date><risdate>2014</risdate><volume>7</volume><issue>1</issue><spage>108</spage><epage>108</epage><pages>108-108</pages><artnum>108</artnum><issn>1757-2215</issn><eissn>1757-2215</eissn><abstract>To evaluate the impact of the presence of endometrioma and laparoscopic cystectomy on ovarian reserve as assessed by serum anti-Müllerian hormone (AMH) level. In addition, factors related to the decline in ovarian reserve were analyzed.
From June 2013 to January 2014, we prospectively included 40 women with endometriomas as the study group (group A), 36 women with tubal factor infertilities as control group 1 (group B) and 22 women with the other benign ovarian cysts as control group 2 (group C). The women with ovarian cysts underwent laparoscopic cystectomy. Serum AMH levels were determined preoperatively and at 1 month after surgery.
The endometrioma group had lower AMH levels (1.53 ± 1.37 ng/ml) compared with the other benign ovarian cyst group (2.20 ± 1.23 ng/ml) and the tubal factor infertility group (2.82 ± 1.74 ng/ml). The rate of serum AMH decline 1 month after surgery in the endometrioma group (0.62 ± 0.35) was larger than the decline in the other benign ovarian cyst group (0.32 ± 0.30). The preoperative AMH level showed a significant correlation with patient age (group A, r = -0.32; group B, r = -0.54; group C, r = -0.71); there was a statistically significant correlation between the rate of serum AMH decline and endometrioma diameter as well as with the preoperative serum AMH level. In addition, the rate of serum AMH decline was larger for bilateral endometriomas than for unilateral endometriomas, but there was no similar correlation in the other benign ovarian cyst group. The rate of AMH decline after surgery in the subgroup of >7 cm was significantly higher than in the subgroup of ≤7 cm.
Ovarian endometriomas per se may damage ovarian reserve, and cystectomy of endometriomas may cause greater damage to ovarian reserve compared with other benign ovarian cysts. The operation-related damage to the ovarian reserve was positively related to whether the endometriomas were bilateral, as well as cyst size (especially for cysts >7 cm), but was negatively related to the preoperative serum AMH level. Age was a negative factor that affected the ovarian reserve.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25424986</pmid><doi>10.1186/s13048-014-0108-0</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access; Springer Nature OA Free Journals |
| subjects | Adult Age Anti-Mullerian Hormone - blood Case-Control Studies Cystectomy Cysts Endometriosis Endometriosis - blood Endometriosis - physiopathology Endometriosis - surgery Female Hospitals Humans Infertility Infertility, Female - blood Infertility, Female - physiopathology Infertility, Female - surgery Laparoscopy Ovarian Cysts - blood Ovarian Cysts - physiopathology Ovarian Cysts - surgery Ovarian Reserve Prospective Studies ROC Curve Sperm Surgery Ultrasonic imaging Women Young Adult |
| title | The impact of endometrioma and laparoscopic cystectomy on ovarian reserve and the exploration of related factors assessed by serum anti-Mullerian hormone: a prospective cohort study |
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