The Impact of Laparoscopic Ovarian Cystectomy Versus Laparoscopic Deroofing upon Ovarian Reserve in Endometriomas

Abstract

Background: Endometriomas are usually treated surgically using laparoscopic procedures, however the effect of various surgical methods on ovarian reserve is still being studied. The purpose of this research was to compare the effects on ovarian reserve (as determined by blood levels of AMH and AFC) between laparoscopic ovarian cystectomy and laparoscopic cyst de-roofing of endometriomas. The methods included testing 100 women who had been diagnosed with endometrioma. Patients were split into two groups: those who had laparoscopic ovarian cyst removal (N=50) and those who had laparoscopic cyst de-roofing (N=50). The results showed that the cystectomy group had considerably larger differences in terms of AMH, AFC, and ovarian volume. The two groups did not vary substantially in terms of either the mean difference or the mean difference percentage of the VAS. In instances with bilateral lesions, the AMH levels measured one month after cystectomy were considerably lower than those measured in the deroofing group. Ovarian volume was positively correlated with AMH, as was AFC and lesion size (p0.001). There were no statistically significant associations between age, body mass index, or VAS. There was a significant association between AMH level and lesion size, AFC, and ovarian volume, suggesting that laparoscopic cyst deroofing was less detrimental to ovarian reserve than cystectomy in instances of endometriomas. Endometriomas, laparoscopic ovarian cyst removal, laparoscopic cyst de-roofing, ovarian reserve, antimullerian hormone, and antral follicle count are some of the keywords that will be used in this paper.