Effect of Laparoscopic Ovarian Cystectomy of Endometriotic and Non-Endometriotic Cysts on Ovarian Volume, Ovarian Reserve and Ovarian Doppler Velocimetry

Abstract

Background: Laparoscopic ovarian cystectomy (LOC) is one of the most often performed and simplest gynaecological procedures. The aim of this study was to evaluate the change in ovarian reserve, ovarian volume and ovarian Doppler velocimetry after LOC, between endometrioma patients and other benign ovarian cysts. Methods: Eighty participants were enrolled in this prospective cohort research. Aged 18-40 years suffering from unilateral ovarian cysts. Patients were classified into two equal groups: group I: unilateral (endometriotic cyst), and group II: unilateral (non-endometriotic cyst) each group was subdivided into 2 equal subgroups. Group I: subgroup A: stripping and subgroup B: cauterization. Group II: subgroup A: dermoid cysts and subgroup B: simple serous cyst. Results: AMH (antimullerian hormone) post operation and after 3 months were significantly higher in stripping than cauterization subgroups. AMH post operation and after 3 months, AFC (unilateral antral follicle counts) after operation and reduction in AFC were significantly lower in stripping subgroup in endometrioma than dermoid subgroup in non-endometrioma. AFC before operation, reduction in AMH post 3 months, reduction in AFC and reduction in ovarian volume were significantly lower in dermoid than simple cyst subgroups in non- endometrioma group. AFC after operation was significantly higher in dermoid than simple cyst subgroups in non- endometrioma group. Conclusions: AMH was higher in stripping subgroup than cauterization subgroup in endometrioma group post-operatively. AFC was higher in simple subgroup than dermoid subgroup in non-endometrioma group before operation, but no significant difference was noted after operation.