title: Ovarian reserve evaluation by anti-mullerian hormone in women undergoing laparoscopic cystectomy of endometrioma.
abstract: OBJECTIVE
  To study the serial changes of serum AMH to determine ovarian reserve recovery after laparoscopic cystectomy of endometrioma.
  
  
  METHODS
  Forty-three endometrioma patients who underwent laparoscopic cystectomy of endometrioma were tested for levels of serum AMH at preoperation, 1 week, and 3 months postoperation.
  
  
  RESULTS
  Median serum AMH was 2.11 ng/mL (range = 0.22 to 9.24 ng/mL) before surgery. This level also reduced at first week postoperation (p < 0.01) but did not reach a significant difference between the first week and the third month (1.02 ng/mL and 1.06 ng/mL, respectively). The recovery rate of AMH level in unilateral endometrioma was higher than bilateral endometrioma (32.4% vs. -3.6%, p = 0.02).
  
  
  CONCLUSIONS
  Ovarian reserve was decreased after laparoscopic cystectomy of endometrioma and did not significantly restore after three months of postoperation. The recovery of ovarian reserve after unilateral endometriotic cystectomy was faster than that after bilateral endometriotic cystectomy.
authors.affiliation: Infertility Unit, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: Singpetch
authors.initials: S
authors.lastname: Suksompong
authors.forename: Surachai
authors.initials: S
authors.lastname: Dejarkom
authors.forename: Somsin
authors.initials: S
authors.lastname: Petyim
authors.forename: Chongdee
authors.initials: C
authors.lastname: Dangrat
authors.forename: Daunpen
authors.initials: D
authors.lastname: Orachon
authors.forename: Roungsin
authors.initials: R
authors.lastname: Choavaratana
mesh_terms: D000328:Adult; D054304:Anti-Mullerian Hormone / Q000097:blood*; D004715:Endometriosis / Q000097:blood* / Q000601:surgery*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome
chemical_list: D054304:Anti-Mullerian Hormone