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ORIGINAL RESEARCH article

Front. Med.
Sec. Obstetrics and Gynecology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1469858
This article is part of the Research Topic Endometriosis: Updates on the Etiology, Pathophysiology, Measurements and Therapeutics View all 6 articles

Comparing ovarian reserve parameters after laparoscopic endometrioma resection in the follicular vs. luteal phase; A Prospective Cohort Study

Provisionally accepted
Ozguc Takmaz Ozguc Takmaz 1*Mehmet R. Asoglu Mehmet R. Asoglu 2,3Mehmet Ceyhan Mehmet Ceyhan 4Gozde Unsal Gozde Unsal 1Mete Gungor Mete Gungor 1
  • 1 Acıbadem University, Istanbul, Türkiye
  • 2 Üsküdar University, Üsküdar, Türkiye
  • 3 Bahçeci Fulya IVF Center, Istanbul, Türkiye
  • 4 Acibadem Maslak Hospital, Sarıyer, Istanbul, Türkiye

The final, formatted version of the article will be published soon.

    To evaluate whether performing laparoscopic endometrioma surgery in the follicular or luteal phase affects changes in ovarian reserve.This prospective cohort study was conducted in a university-affiliated hospital. A total of 55 women who underwent unilateral laparoscopic endometrioma removal were included in the study.Of these, 28 were in the follicular phase of the menstrual cycle (follicular group), and 27 were in the luteal phase (luteal group). The primary outcomes were the rates of decreased anti-Mullerian hormone (AMH) levels and antral follicle counts (AFC) six months after the surgery, which were compared between the groups.The groups were similar in patient characteristics and endometrioma sizes. AMH levels and AFCs were significantly lower in the post-operative 6th month compared with their pre-operative values (p<0.05 for both groups). The rate of decrease in AMH levels six months after the surgery was not significantly different between the follicular and luteal groups (24.5% and 19.5%, respectively, p>0.05). Similarly, the rate of decrease in AFCs six months after the surgery did not differ between the groups (13.4% and 14.3%, respectively, p>0.05).Performing laparoscopic endometrioma surgery, whether in the follicular or luteal phase, does not seem to affect the changes in the ovarian reserve.

    Keywords: endometrioma removal, Ovarian damage, Anti-Mullerian Hormone, Endometriosis, ovarian reserve

    Received: 24 Jul 2024; Accepted: 01 Oct 2024.

    Copyright: © 2024 Takmaz, Asoglu, Ceyhan, Unsal and Gungor. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Ozguc Takmaz, Acıbadem University, Istanbul, Türkiye

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