Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature
Ovarian endometrioma are found in up to 40% of women with endometriosis and 50% of infertile women. The best surgical approach for endometrioma and its impact on pregnancy rates is still controversial. Therefore, we conducted a literature review on surgical management of ovarian endometrioma and its...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/3/414 |
| _version_ | 1797408448729579520 |
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| author | Ana Sofia Pais Clara Flagothier Linda Tebache Teresa Almeida Santos Michelle Nisolle |
| author_facet | Ana Sofia Pais Clara Flagothier Linda Tebache Teresa Almeida Santos Michelle Nisolle |
| author_sort | Ana Sofia Pais |
| collection | DOAJ |
| description | Ovarian endometrioma are found in up to 40% of women with endometriosis and 50% of infertile women. The best surgical approach for endometrioma and its impact on pregnancy rates is still controversial. Therefore, we conducted a literature review on surgical management of ovarian endometrioma and its impact on pregnancy rates and ovarian reserve, assessed by anti-Müllerian hormone (AMH) serum levels. Ovarian cystectomy is the preferred technique, as it is associated with lower recurrence and higher spontaneous pregnancy rate. However, ablative approaches and combined techniques are becoming more popular as ovarian reserve is less affected and there are slightly higher pregnancy rates. Preoperative AMH level might be useful to predict the occurrence of pregnancy. In conclusion, AMH should be included in the preoperative evaluation of reproductive aged women with endometriosis. The surgical options for ovarian endometrioma should be individualized. The endometrioma ablation procedure seems to be the most promising treatment. |
| first_indexed | 2024-03-09T03:58:39Z |
| format | Article |
| id | doaj.art-913f129fc59e4b83bd71351bd4f6ea34 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T03:58:39Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-913f129fc59e4b83bd71351bd4f6ea342023-12-03T14:16:20ZengMDPI AGJournal of Clinical Medicine2077-03832021-01-0110341410.3390/jcm10030414Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent LiteratureAna Sofia Pais0Clara Flagothier1Linda Tebache2Teresa Almeida Santos3Michelle Nisolle4Reproductive Medicine Unit, Centro Hospitalar e Universitário de Coimbra, 3004-561 Coimbra, PortugalDepartment of Obstetrics and Gynaecology, Hospital CHR Liège, University of Liège, 4000 Liège, BelgiumDepartment of Obstetrics and Gynaecology, Hospital CHR Liège, University of Liège, 4000 Liège, BelgiumReproductive Medicine Unit, Centro Hospitalar e Universitário de Coimbra, 3004-561 Coimbra, PortugalDepartment of Obstetrics and Gynaecology, Hospital CHR Liège, University of Liège, 4000 Liège, BelgiumOvarian endometrioma are found in up to 40% of women with endometriosis and 50% of infertile women. The best surgical approach for endometrioma and its impact on pregnancy rates is still controversial. Therefore, we conducted a literature review on surgical management of ovarian endometrioma and its impact on pregnancy rates and ovarian reserve, assessed by anti-Müllerian hormone (AMH) serum levels. Ovarian cystectomy is the preferred technique, as it is associated with lower recurrence and higher spontaneous pregnancy rate. However, ablative approaches and combined techniques are becoming more popular as ovarian reserve is less affected and there are slightly higher pregnancy rates. Preoperative AMH level might be useful to predict the occurrence of pregnancy. In conclusion, AMH should be included in the preoperative evaluation of reproductive aged women with endometriosis. The surgical options for ovarian endometrioma should be individualized. The endometrioma ablation procedure seems to be the most promising treatment.https://www.mdpi.com/2077-0383/10/3/414endometriosisendometrioma surgeryovarian reserveanti-Müllerian hormonespontaneous pregnancy |
| spellingShingle | Ana Sofia Pais Clara Flagothier Linda Tebache Teresa Almeida Santos Michelle Nisolle Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature Journal of Clinical Medicine endometriosis endometrioma surgery ovarian reserve anti-Müllerian hormone spontaneous pregnancy |
| title | Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature |
| title_full | Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature |
| title_fullStr | Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature |
| title_full_unstemmed | Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature |
| title_short | Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature |
| title_sort | impact of surgical management of endometrioma on amh levels and pregnancy rates a review of recent literature |
| topic | endometriosis endometrioma surgery ovarian reserve anti-Müllerian hormone spontaneous pregnancy |
| url | https://www.mdpi.com/2077-0383/10/3/414 |
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