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107022

Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Background:Ovarian reserve is the key target of infertility treatment; its accurate evaluation is extremely important for outcomes prediction of in-vitro fertilization [IVF].Ovarian cysts act as a common gynecological site that occurred in 6.6% of patients between twenty-five and forty years old. When its surgical removal is indicated, stripping the ovarian cyst wall by laparoscopic approach is the technique of choice.
Aim of the Work: The present study was designed to evaluate ovarian reserve after laparoscopic ovarian cystectomy by using basal Follicular Stimulating hormone [FSH], Anti-Mullerian hormone [AMH], and Antral follicle count [AFC] as a marker for evaluation.
Patients and Methods:This was an observational study which was conducted on infertile patients after laparoscopic ovarian cystectomy from the Obstetrics and Gynecology department Al-Azhar University hospital [New   Damietta] from October 2018 to last of November 2019.
Results:AFC had been increased significantly post-cystectomy when compared to corresponding preoperative values [17.8±2.24 vs 5.57±3.16 respectively]. On the other side, both FSH and AMH significantly decreased after cystectomy when compared to preoperative values. These results are constant regardless of the type of the cyst, the surgical procedure, or its polarity.  
Conclusion: The FSH and AFC levels increased after laparoscopic cystectomy for benign ovarian cysts, indicating significant ovarian damage post operatively.

DOI

10.21608/ijma.2020.34932.1143

Keywords

Follicle Stimulating Hormone, luteinizing hormone, Antral Follicle Count, ovarian cystectomy, ovarian reserve

Authors

First Name

Eslam

Last Name

Awad

MiddleName

Fathy Mahmoud

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, Egypt.

Email

eslam.f486@gmail.com

City

Ciro

Orcid

-

First Name

Mahmoud

Last Name

Farouk Midan

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

dr-midan@hotmail.com

City

-

Orcid

-

First Name

Waleed

Last Name

Ayad

MiddleName

Ahmed

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

waled.ayad@yahoo.com

City

-

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-07-06

Publish Date

2020-10-01

Page Start

770

Page End

778

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 770-778.pdf

PDF . 2.3MB

Link

https://ijma.journals.ekb.eg/article_107022.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=107022

Order

14

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023