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10.3390/jcm10030414
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Review

Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature

by
Ana Sofia Pais
1,2,3,4,5,*,
Clara Flagothier
6,
Linda Tebache
6,
Teresa Almeida Santos
1,7 and
Michelle Nisolle
6
1
Reproductive Medicine Unit, Centro Hospitalar e Universitário de Coimbra, 3004-561 Coimbra, Portugal
2
Obstetrics Department, Faculty of Medicine, University of Coimbra, 3000-370 Coimbra, Portugal
3
Coimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment Genetics and Oncobiology (CIMAGO), Biophysics Institute of Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
4
Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
5
Clinical Academic Center of Coimbra (CACC), 3000-548 Coimbra, Portugal
6
Department of Obstetrics and Gynaecology, Hospital CHR Liège, University of Liège, 4000 Liège, Belgium
7
Faculty of Medicine, University of Coimbra, 3000-370 Coimbra, Portugal
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2021, 10(3), 414; https://doi.org/10.3390/jcm10030414
Submission received: 7 December 2020 / Revised: 4 January 2021 / Accepted: 18 January 2021 / Published: 22 January 2021
(This article belongs to the Special Issue Recent Advances in Minimally Invasive Surgery)
Versions Notes

Abstract

Ovarian endometrioma are found in up to 40% of women with endometriosis and 50% of infertile women. The best surgical approach for endometrioma and its impact on pregnancy rates is still controversial. Therefore, we conducted a literature review on surgical management of ovarian endometrioma and its impact on pregnancy rates and ovarian reserve, assessed by anti-Müllerian hormone (AMH) serum levels. Ovarian cystectomy is the preferred technique, as it is associated with lower recurrence and higher spontaneous pregnancy rate. However, ablative approaches and combined techniques are becoming more popular as ovarian reserve is less affected and there are slightly higher pregnancy rates. Preoperative AMH level might be useful to predict the occurrence of pregnancy. In conclusion, AMH should be included in the preoperative evaluation of reproductive aged women with endometriosis. The surgical options for ovarian endometrioma should be individualized. The endometrioma ablation procedure seems to be the most promising treatment.
Keywords: endometriosis; endometrioma surgery; ovarian reserve; anti-Müllerian hormone; spontaneous pregnancy endometriosis; endometrioma surgery; ovarian reserve; anti-Müllerian hormone; spontaneous pregnancy

Share and Cite

MDPI and ACS Style

Pais, A.S.; Flagothier, C.; Tebache, L.; Almeida Santos, T.; Nisolle, M. Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature. J. Clin. Med. 2021, 10, 414. https://doi.org/10.3390/jcm10030414

AMA Style

Pais AS, Flagothier C, Tebache L, Almeida Santos T, Nisolle M. Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature. Journal of Clinical Medicine. 2021; 10(3):414. https://doi.org/10.3390/jcm10030414

Chicago/Turabian Style

Pais, Ana Sofia, Clara Flagothier, Linda Tebache, Teresa Almeida Santos, and Michelle Nisolle. 2021. "Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature" Journal of Clinical Medicine 10, no. 3: 414. https://doi.org/10.3390/jcm10030414

APA Style

Pais, A. S., Flagothier, C., Tebache, L., Almeida Santos, T., & Nisolle, M. (2021). Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature. Journal of Clinical Medicine, 10(3), 414. https://doi.org/10.3390/jcm10030414

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