Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients

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. Wh...

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Autores principales: Eslam Awad, Mahmoud Farouk Midan, Waleed Ayad
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Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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Acceso en línea:https://doaj.org/article/39402f2bdce94e979b59c132358219e6
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spelling oai:doaj.org-article:39402f2bdce94e979b59c132358219e62021-12-02T15:22:18ZOvarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients2636-41742682-378010.21608/ijma.2020.34932.1143https://doaj.org/article/39402f2bdce94e979b59c132358219e62020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_107022_080adaa0e18af7a9580ff296e6636655.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: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.Eslam AwadMahmoud Farouk MidanWaleed AyadAl-Azhar University, Faculty of Medicine (Damietta)articlefollicle stimulating hormoneluteinizing hormoneantral follicle countovarian cystectomyovarian reserveMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 770-778 (2020)
institution DOAJ
collection DOAJ
language EN
topic follicle stimulating hormone
luteinizing hormone
antral follicle count
ovarian cystectomy
ovarian reserve
Medicine (General)
R5-920
spellingShingle follicle stimulating hormone
luteinizing hormone
antral follicle count
ovarian cystectomy
ovarian reserve
Medicine (General)
R5-920
Eslam Awad
Mahmoud Farouk Midan
Waleed Ayad
Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients
description 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.
format article
author Eslam Awad
Mahmoud Farouk Midan
Waleed Ayad
author_facet Eslam Awad
Mahmoud Farouk Midan
Waleed Ayad
author_sort Eslam Awad
title Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients
title_short Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients
title_full Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients
title_fullStr Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients
title_full_unstemmed Ovarian Reserve after Laparoscopic Ovarian Cystectomy in Infertile Patients
title_sort ovarian reserve after laparoscopic ovarian cystectomy in infertile patients
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/39402f2bdce94e979b59c132358219e6
work_keys_str_mv AT eslamawad ovarianreserveafterlaparoscopicovariancystectomyininfertilepatients
AT mahmoudfaroukmidan ovarianreserveafterlaparoscopicovariancystectomyininfertilepatients
AT waleedayad ovarianreserveafterlaparoscopicovariancystectomyininfertilepatients
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