Background: Endometriomas are commonly managed surgically through laparoscopic
procedures, but the impact of different surgical techniques on ovarian reserve remains
a subject of investigation. This study aimed to evaluate the impact of laparoscopic
ovarian cystectomy versus laparoscopic cyst de-roofing of endometriomas on ovarian
reserve measured by serum levels of AMH and AFC. Methods: This study was carried
out on 100 subjects with endometrioma. They were divided into 2 groups; the
cystectomy group: patients who underwent laparoscopic ovarian cystectomy (N=50),
and the deroofing group: patients who underwent laparoscopic cyst deroofing (N=50).
Results: Mean difference and mean difference percentage were significantly higher in
cystectomy group according to AMH level, AFC and ovarian volume. Mean difference
and mean difference percentage of VAS was not significantly difference between the
two groups. AMH level showed significantly lower measurement in cystectomy group
one month compared with deroofing group in bilateral lesion cases. AMH showed a
significant positive correlation with lesion size, AFC and ovarian volume (p |
