The effect of laparoscopic ovarian cystectomy on the ovarian reserve in women admitted for endometriotic cysts at the tertiary hospital
- Author:
Ranola Leedah
;
Banal-Silao Maria Jesua
;
De Guia-Fuerte Blanca
- Publication Type:Journal Article
- MeSH:
Human;
Female;
Adult;
Young Adult;
FOLLICLE STIMULATING HORMONE;
LAPAROSCOPY;
ENDOMETRIAL NEOPLASMS
- From:
Philippine Journal of Reproductive Endocrinology and Infertility
2011;8(2):55-61
- CountryPhilippines
- Language:English
-
Abstract:
Objective: To compare pre-operative and post-operative ovarian reserve by measuring the follicle stimulating hormone (FSH) serum level on day 3 of the menstrual cycle following a laparoscopic ovarian cystectomy for endometriotic cyst/s.
Design: Prospective descriptive study
Setting: Tertiary referral center.
Study Population: Patients who are 18 to 34 years old with unilateral/bilateral endometriotic cyst/s were recruited in the study. All patients underwent laparoscopic ovarian cystectomy at the charity service of Reproductive Endocrinology and Infertility Section in a tertiary hospital.
Outcome Measures: Serum day 3 FSH was determined pre-operatively and 1 month post-operatively and analyzed for statistical significance.
Results: Majority of our patients aged 31-34 years old, were nulligravid and with history of infertility. The mean post-operative FSH level decreased slightly compared to the pre-operative FSH level. The size and number of endometriotic cyst did not affect significantly the ovarian reserve as well as the ovarian residual volume. Likewise, the menstrual pattern did not significantly change post-operatively.
Conclusion: The mean overall postoperative FSH level improved very slightly but is not significant. Somehow, laparoscopic ovarian cystectomy may be beneficial in improving the ovarian reserve. However, further studies and samples are needed.
