Association Between Laparoscopic Removal of Endometriomas and Anti-mullerian Hormone Levels
Study Details
Study Description
Brief Summary
Laparoscopic excision of endometriotic cysts is the main stream surgical intervention for treatment of endometriosis. However there is evidence that intervention may effect ovarian reserve by destruction of healthy ovarian tissue during surgery. Available evidence on the topic are contradictory and employed research methodology are diverse. There is need for an adequately powered research with proper methodology to assess actual effects of surgery.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Laparoscopic removal Patients with endometrioma who will undergo laparoscopic removal of cysts. |
Procedure: Laparoscopic removal of cysts
Women with endometrioma lesions will undergo laparoscopic removal. Cysts will be enucleated with blunt dissection of the cyst capsule and following traction, counter traction maneuver. Bipolar coagulation will be used sparsely and suturing will be the predominant choice for achieving bleeding control.
|
Outcome Measures
Primary Outcome Measures
- Anti-Mullerian hormone levels [1 year]
AMH (anti-mullerian hormone) levels will be measured before surgery and during various time points up to 1 year after the surgery
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Women with endometrioma cyst(s)
-
Women of age under 35 years old
-
Women without any previous ovarian surgery
Exclusion Criteria:
-
Combined oral contraceptive or long term GnRH (gonadotropin-releasing hormone) analog use in the preceding 3 months to enrolment
-
Having another cystic lesion besides endometrioma
-
Need for extensive bipolar coagulation during surgery
-
Any anatomical problem preventing evaluation of ovaries with high-resolution ultrasound
-
Postoperative pathology excluding endometrioma
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Ankara University
Investigators
- Principal Investigator: Erkan Kalafat, Ankara University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 07