Volume 19, Issue 7 (July 2021)                   IJRM 2021, 19(7): 619-624 | Back to browse issues page

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Javaheri A, Kabirpour Ashkezar S, Eftekhar M, GhanadzadeTafti S Z. Ovarian reserve in women with endometriosis under total cystectomy compared to partial cystectomy: A randomized clinical trial. IJRM 2021; 19 (7) :619-624
URL: http://ijrm.ir/article-1-1904-en.html
Ovarian reserve in women with endometriosis under total cystectomy compared to partial cystectomy: A randomized clinical trial
Atiye Javaheri1 , Samane Kabirpour Ashkezar * 2, Maryam Eftekhar1 , Seiede Zahra GhanadzadeTafti1
1- Obstetrics and Gynecology Department, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2- Obstetrics and Gynecology Department, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. , s_kabirpour@yahoo.com
Abstract:   (1304 Views)
Background: The standard procedure for ovarian endometriosis is laparoscopic excision of ovarian cysts and complete removal of the cyst capsule using the Striping technique. The safety of this procedure, due to the possibility of reducing ovarian reserve and in some cases, the premature ovarian failure, is still remains to be known.
Objective: The aim of this study was to compare the ovarian reserve in women with endometriosis underwent total cystectomy with partial cystectomy.
Materials and Methods: In this randomized clinical trial, 50 women with endometriosis were randomly assigned into two groups (n = 25/each); total cystectomy and partial cystectomy. To assess the ovarian reserves, anti-müllerin hormone level before and three months after surgery was measured and compared in the two groups.
Results: Anti-müllerin hormone level before (p = 0.52) and after surgery (p = 32) did not significantly different between the two study groups. However, the mean of anti-müllerin hormone reduction in the total cystectomy group to be significantly higher than partial cystectomy (p = 0.001).
Conclusion: Cystectomy in women with endometriosis reduces ovarian reserve and can help maintain some ovarian reserve by performing partial instead of total cystectomy.
Keywords: Anti-müllerin hormone, Endometriosis, Cystectomy, Ovarian reserve.
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Type of Study: Original Article | Subject: Perinatology
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