title: [Surgical treatment of endometriomas and ovarian reserve].
abstract: OBJECTIVE
  To present an overview of affect an ovarian reserve in women after laparoscopic surgery for ovarian endometriosis.
  
  
  METHODS
  Review.
  
  
  METHODS
  Department of Obstetric and Gynecology, Hospital Kyjov; Department of Obstetric and Gynecology, University Hospital, Brno.
  
  
  METHODS
  Summary of the results of recent studies.
  
  
  RESULTS
  The decrease in ovarian reserve has been detected in 8 of 9 evaluated studies, specifically in one retrospective study, six prospective studies and in one systematic review, the results of the meta-analysis don´t prove the reduction of ovarian reserve after the surgery for endometrioma, reduced ovarian reserve evaluated by the antral follicle count has been proven in the affect ovary before the surgery.
  
  
  CONCLUSIONS
  Endometriosis is among the most frequent benign gynecological diseases, affecting the women in reproductive age. Laparoscopic surgery techniques are currently the method of choice in the treatment of endometriotic ovarian cysts. Excision of endometriotic cyst is associated with significant reduction in ovarian reserve. The women with previous surgery of endometrioma have significantly fewer mature oocytes capable of fertilization, the ovarian response to stimulation is reduced and the number of live births is lower.
authors.forename: D
authors.initials: D
authors.lastname: Barátová
authors.forename: L
authors.initials: L
authors.lastname: Mekiňová
authors.forename: K
authors.initials: K
authors.lastname: Slabá
authors.forename: I
authors.initials: I
authors.lastname: Crha
mesh_terms: D000328:Adult; D054304:Anti-Mullerian Hormone; D004715:Endometriosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009865:Oocytes / Q000502:physiology; D010049:Ovarian Diseases / Q000503:physiopathology / Q000601:surgery*; D065851:Ovarian Reserve / Q000502:physiology*; D010062:Ovulation Induction; D011247:Pregnancy; D011446:Prospective Studies; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D054304:Anti-Mullerian Hormone
keywords: anti-Müllerian hormone laparoscopy.; antral follicle count; ovarian endometrioma; ovarian reserve